Individual
BRIAN FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
633 WASHINGTON ST, MIDDLETOWN, CT 06457-2542
(860) 346-7628
(860) 346-0090
Mailing address
7 RIVERCOVE DR, CROMWELL, CT 06416-1517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0010432
CT
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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