Individual
JEREMY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 E MAIN ST, CLINTON, CT 06413-2200
(860) 669-6636
(860) 669-6636
Mailing address
215 E MAIN ST, CLINTON, CT 06413-2200
(860) 669-6636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8386
CT
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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