Individual
MS. PHYLLIS RUTH BLAUVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2961
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0009272
CT
183500000X
Pharmacist
PH23749
MA
183500000X
Pharmacist
S011906
AZ
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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