Individual
MRS. JACQUELINE MARIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
67 OLD FARMS RD, SOUTH GLASTONBURY, CT 06073-3712
(860) 633-2012
Mailing address
67 OLD FARMS RD, SOUTH GLASTONBURY, CT 06073-3712
(860) 633-2012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008290
CT
183500000X
Pharmacist
23140
MA
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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