Healthcare Provider Details

I. General information

NPI: 1639249378
Provider Name (Legal Business Name): JOSEPH J BARONE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 MAIN ST
HEBRON CT
06248-1519
US

IV. Provider business mailing address

441 GOODALE HILL RD
GLASTONBURY CT
06033-3276
US

V. Phone/Fax

Practice location:
  • Phone: 860-228-3888
  • Fax: 860-228-3391
Mailing address:
  • Phone: 860-633-4842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4524
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: