Individual
TERA RENEE STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1000 ASYLUM AVE, ROOM 1004, HARTFORD, CT 06105-1770
(860) 714-4761
Mailing address
114 WOODLAND ST, PHARMACY DEPARTMENT, HARTFORD, CT 06105-1208
(860) 714-4761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011146
CT
Other
Enumeration date
10/01/2008
Last updated
10/18/2012
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