Search › Connecticut › 183500000X
Jordan Theriault
NPI 1295109734 · on the registry since 2015 · sole proprietor
Practice
- Address
- 200 Universal Dr N
North Haven, CT 06473 - Phone
- (203) 859-3491
- Organisation at this address
- Connecticut Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut