Individual
DR. JONATHAN BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2800 MAIN STREET, BRIDGEPORT, CT 06606
(203) 576-5713
Mailing address
15 KENSINGTON LN UNIT 306, ROCKY HILL, CT 06067-3641
(224) 392-7685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015974
CT
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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