Most Relevant Information
Provider Data
| NPI Number: | 1003395542 |
| Provider Name: | MARYJANE COUILLARD RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PR4073 |
Most Important Dates
| Enumeration Date: | 08/07/2018 |
| Last Updated: | 06/06/2023 |
Provider Practice Location
155 WATERFORD PKWY N
WATERFORD
CT
063851208
Practice Location Phone/Fax
| Phone: | 8604473747 |
| Fax: |
Provider Mailing Location
155 WATERFORD PKWY N
WATERFORD
CT
063851208
Provider Mailing Phone/Fax
| Phone: | 8604473747 |
| Fax: |