Individual
DR. MATTHEW THOMAS BEAULAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3493
Mailing address
53 ROURKE AVE, SOUTHINGTON, CT 06489-3015
(207) 590-1306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012056
CT
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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