Individual
DEBORAH H RUDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
67 PROSPECT HILL RD, EAST WINDSOR, CT 06088-3605
(860) 623-1407
Mailing address
67 PROSPECT HILL RD, EAST WINDSOR, CT 06088-3605
(860) 623-1407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0015998
OR
183500000X
Pharmacist
60758350
WA
183500000X
Pharmacist
Primary
6093
CT
183500000X
Pharmacist
P7808
ID
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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