Individual
MRS. SUSAN MARIE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
321 MAIN ST, DURHAM, CT 06422-1614
(860) 349-3478
(860) 349-1240
Mailing address
321 MAIN ST, DURHAM, CT 06422-1614
(860) 349-3478
(860) 349-1240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006960
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006960
STATE OF CT
CT
Enumeration date
11/22/2019
Last updated
11/22/2019
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