Jeffrey Erdman
Pharmacist in Southington, CT. Individual provider (NPI-1).
NPI number1619622909
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1619622909
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Erdman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2022
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PCT.0015890 | CT | Yes |
Practice location
98 Meriden AveSouthington, CT 06489-3272
Phone 203-910-2913
Mailing address
98 Meriden AveSouthington, CT 06489-3272
Phone 203-910-2913
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