Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN THERIAULT
Active Sole ProprietorJORDAN THERIAULT is a Pharmacist healthcare provider located in NORTH HAVEN, Connecticut. NPI 1295109734 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · NORTH HAVEN, CT
Registration Details
- NPI Number
- 1295109734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2015 (10.717657644429 yrs)
- Last Updated
- Nov 20, 2015
- License
-
PCT.0013290 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 UNIVERSAL DR NNORTH HAVEN, CT, 064733156Browse CT providers · Browse ZIP 06473
- Phone
- 2038593491
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in NORTH HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| MR. FREDERICK J SANTA JR. | RPH | 1881984482 |
| DR. KRISTY ANN TABOADA | PHARM D | 1760777924 |
| THOMAS VITAGLIANO | — | 1912286550 |
| MUNA ZUGHAYER | PHARMD | 1851671887 |
| TUSHAR C PATEL | — | 1437431129 |
| MRS. DANIECE OWSLEY BURNS | RPH | 1649556226 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.