Individual
JEAN VAIDA PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
108 COONEY RD, POMFRET CTR, CT 06259-2232
(860) 774-8026
Mailing address
108 COONEY RD, POMFRET CTR, CT 06259-2232
(860) 774-8026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2272
NH
183500000X
Pharmacist
Primary
PCT.0010025
CT
183500000X
Pharmacist
PH18141
MA
183500000X
Pharmacist
RPH04566
RI
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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