Individual
DR. LAURIE ANN JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
54 HAZARD AVE, ENFIELD, CT 06082-3845
(860) 741-2230
(860) 745-0474
Mailing address
873 S WESTFIELD ST, FEEDING HILLS, MA 01030-2723
(413) 786-5955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015070
CT
183500000X
Pharmacist
27527
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015070
PHARMACIST LICENSE
CT
01
—
27527
PHARMACIST LICENSE
MA
Enumeration date
09/25/2020
Last updated
09/25/2020
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