Scott Michael Beaulieu Valid NPI
Individual provider · Pharmacist · Norwich, CT
- NPI
- 1396039525
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 0009100 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-06-06
- Last updated
- 2011-06-06
Practice location
624 W Main St
Norwich, CT 06360-6043
(860) 886-1417