Individual
RICHARD T. AUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
84 PROGRESS LN, WATERBURY, CT 06705-3829
(203) 753-7778
(203) 346-7593
Mailing address
18 BERRIOS HILL RD, WINDSOR, CT 06095-1003
(860) 688-5448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6569
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19525
MA PHARMACIST LICENSE
MA
01
—
6569
CT PHARMACIST LICENSE
CT
Enumeration date
12/21/2006
Last updated
07/08/2007
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