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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELINE MARIE ROBERTS, RPH, PHARMD

Active Sole Proprietor

MRS. JACQUELINE MARIE ROBERTS, RPH, PHARMD is a Pharmacist healthcare provider located in SOUTH GLASTONBURY, Connecticut. NPI 1386962405 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SOUTH GLASTONBURY, CT

Registration Details

NPI Number
1386962405
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2010 (16.216213453595 yrs)
Last Updated
May 13, 2010
Licenses
0008290 (CT)
23140 (MA)
Sole Proprietor
Yes

Practice Information

Address
67 OLD FARMS RD
SOUTH GLASTONBURY, CT, 060733712
Browse CT providers · Browse ZIP 06073
Phone
8606332012
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
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.