Individual
MATHIEU LAROUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
66 HIGH RIDGE RD, STAMFORD, CT 06905-3807
(203) 541-3972
Mailing address
66 HIGH RIDGE RD, STAMFORD, CT 06905-3807
(203) 541-3972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014849
CT
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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