Active NPIIndividual provider

Scott M Beaulieu

Pharmacist in Norwich, Connecticut

NPI Number1396039525
Practice location
624 W Main St, Norwich, CT 06360-6043
Fax
—
Last updated
June 6, 2011

Scott Michael Beaulieu is a Pharmacist based in Norwich, CT. Scott Michael Beaulieu practices in Norwich, CT. The NPI Number for Scott Michael Beaulieu is 1396039525 and holds a License No. 0009100 (CT). The current practice location address for Scott Michael Beaulieu is 624 W Main St, Norwich, CT 06360-6043 and can be reached out via phone at 860-886-1417.

Provider Profile Details

NPI Number
1396039525
Provider Name
Scott Michael Beaulieu
Provider Entity Type
Individual
Gender
Male
Address
624 W Main St, Norwich, CT 06360-6043
Phone Number
860-886-1417
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2011
Last Update Date
June 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
624 W Main St
Norwich, CT 06360-6043
Zip
06360-6043
Phone Number
860-886-1417
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
219 Library St
Mystic, CT 06355-1628
City
Mystic
State
CT
Zip
06355-1628
Phone Number
860-716-5773
Fax Number
860-245-5150

License Information

License Number
0009100
License State
CT
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Scott M Beaulieu?

The NPI number of Scott M Beaulieu is 1396039525. It was assigned on June 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Scott M Beaulieu?

Scott M Beaulieu is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 0009100.

Where does Scott M Beaulieu practice?

The practice location is 624 W Main St, Norwich, CT 06360-6043. The office can be reached at 860-886-1417 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396039525 directly on the NPPES registry website.

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