Individual
SCOTT MICHAEL BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 W MAIN ST, NORWICH, CT 06360-6043
(860) 886-1417
Mailing address
219 LIBRARY ST, MYSTIC, CT 06355-1628
(860) 716-5773
(860) 245-5150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009100
CT
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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