Individual
MARILYN CHRISTINE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 MOHEGAN SUN BLVD, WALGREENS, UNCASEVILLE, CT 06382
(860) 859-9764
Mailing address
271 DEERFIELD RIDGE DRIVE, MYSTIC, CT 06355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0010292
CT
183500000X
Pharmacist
PH23104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0010292
RPH LICENSE
CT
01
—
PH23104
RPH LICENSE
MA
Enumeration date
09/28/2011
Last updated
09/28/2011
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