Individual
TARA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
180 MAIN ST, DEEP RIVER, CT 06417-2039
(860) 526-8052
Mailing address
19 DEER RUN, EAST HADDAM, CT 06423-1341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008781
CT
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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