IndividualActive
Jordan Theriault
NPI 1295109734 · Pharmacist · North Haven, CT
Jordan Theriault is a Pharmacist provider in North Haven, CT (NPI 1295109734).
Provider details
- NPI number
- 1295109734
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PCT.0013290 (CT)
Practice location
200 Universal Dr N
North Haven, CT 06473-3156
Phone: (203) 859-3491
Street-level locationGet directions
Mailing address
200 Universal Dr N
North Haven, CT 06473-3156
Registry dates
- Enumerated
- 2015-11-20
- Last updated
- 2015-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.