Provider Demographics
NPI:1538764410
Name:PLOURDE, BARBARA C (RPH)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:C
Last Name:PLOURDE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TERRYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06786-5928
Mailing Address - Country:US
Mailing Address - Phone:860-314-2891
Mailing Address - Fax:860-585-1943
Practice Address - Street 1:311 MAIN ST
Practice Address - Street 2:
Practice Address - City:TERRYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06786-5928
Practice Address - Country:US
Practice Address - Phone:860-314-2891
Practice Address - Fax:860-585-1943
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8115183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist