Mark David Theriault in Meriden - Pharmacist
Mark David Theriault - NPI 1144359894
Mark David Theriault is a Pharmacist in Meriden, Connecticut. Mark David Theriault practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mark David Theriault is 1144359894. The last update date is 2007-07-08.
Mark David Theriault's current location address is 65 Walt Dr, Meriden, Connecticut. You can contact this provider via phone number 2036307037. The mailing address for Mark David Theriault is 65 Walt Dr, Meriden, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Theriault |
|---|---|
| Address | 65 Walt Dr, Meriden, Connecticut |
| Phone Number | 2036307037 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1144359894 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 65 Walt Dr |
|---|---|
| City | Meriden |
| State | Connecticut (CT) |
| Post Code | 64506823 |
| Phone Number | 2036307037 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 9583 |
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Definition: 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 m |
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Post Comment/ Review Below
What is the unique identification code assigned to Mark David Theriault by the Centers for Medicare & Medicaid Services?
The Mark David Theriault has been issued the NPI (National Provider Identifier) 1144359894. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark David Theriault's facilities are geographically located?
The facilities of Mark David Theriault are physically situated at the following location: 65 Walt Dr, Meriden, CT, 64506823.
What is Mark David Theriault's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark David Theriault's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144359894 to Mark David Theriault?
The Centers for Medicare & Medicaid Services originally issued the 1144359894 to Mark David Theriault on 2007-03-05.
When was the information pertaining to Mark David Theriault most recently updated or revised?
The details related to Mark David Theriault, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.