Individual
DR. THERESA F PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
39 COLBURN RD, STAFFORD SPRINGS, CT 06076-3415
(413) 297-6503
Mailing address
39 COLBURN RD, STAFFORD SPRINGS, CT 06076-3415
(413) 297-6503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9985
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9985
PHARMACIST
CT
Enumeration date
03/08/2010
Last updated
05/08/2023
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