Roberts, Jacqueline Marie

Roberts, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 67 Old Farms Rd , South Glastonbury CT 06073-3712. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Roberts, Jacqueline Marie can be contacted via phone (860) 633-2012.

Contact Information

Primary practice address
67 Old Farms Rd South Glastonbury CT 06073-3712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0008290 Connecticut
Pharmacy Service Providers / Pharmacist 183500000X 23140 Massachusetts

Profile Details

NPI number 1386962405
LBN Legal business name Roberts, Jacqueline Marie
Credentials RPH, PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2010
Last updated May 13th, 2010 - about 15 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.

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