Individual provider · Type 1 NPI
Mark David Theriault, PharmD
Pharmacist · New Haven, CT
Practice location
17 Hillhouse Ave
New Haven, CT 06520
Mailing address
65 Walt Dr
Meriden, CT 06450-6823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 9583 (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 1144359894
Mark David Theriault, PharmD's National Provider Identifier is 1144359894, issued on Mar 5, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.