Jay, Gene T
Jay, Gene T is an individual health care provider with primary practice located at 435 Buckland Rd , South Windsor CT 06074-3720. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Jay, Gene T can be contacted via phone (860) 648-5949.Contact Information
Primary practice address
435 Buckland Rd
South Windsor CT 06074-3720
Phone: (860) 648-5949
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 6880 | Connecticut |
Profile Details
| NPI number | 1518026061 |
|---|---|
| LBN Legal business name | Jay, Gene T |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518026061 | NPPES |
| Connecticut | Other | 6880 | STATE PHARMACY LICENSE NU |
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