Individual
HEATHER H THEBODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
47-49 LAKE AVENUE EXTENTION, DANBURY, CT 06811
(203) 778-7471
(203) 778-7477
Mailing address
47-49 LAKE AVENUE EXTENTION, DANBURY, CT 06811
(203) 778-7471
(203) 778-7477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7803
CT
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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