Individual
MRS. JUDITH M. JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19 PLAINFIELD ST, ENFIELD, CT 06082-5813
(860) 745-9054
Mailing address
19 PLAINFIELD ST, ENFIELD, CT 06082-5813
(860) 745-9054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22373
MA
183500000X
Pharmacist
Primary
5272
CT
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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