Individual
TERRI AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
26 FALLS RD, MOODUS, CT 06469-1210
(860) 873-1481
(860) 873-2490
Mailing address
26 FALLS RD, PO BOX 407, MOODUS, CT 06469-1210
(860) 873-1481
(860) 873-2490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9028
CT
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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