Individual provider · Type 1 NPI

Jerry Edouard

Pharmacist · Wallingford, CT

NPI number 1043958143 Active

Practice location

930 N Colony Rd
Wallingford, CT 06492-2471

Mailing address

399 Main Ave Apt 807
Norwalk, CT 06851-1574

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPCT.0015701 (CT)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1043958143

Jerry Edouard's National Provider Identifier is 1043958143, issued on May 26, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wallingford, CT. The record was last updated on May 26, 2022.