Individual
DR. GENE T JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
435 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3720
(860) 648-5949
Mailing address
18 CAREY LN, SOUTH WINDSOR, CT 06074-4256
(860) 282-0860
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
6880
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6880
STATE PHARMACY LICENSE NU
CT
Enumeration date
12/08/2006
Last updated
07/08/2007
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