Healthcare Provider Details

I. General information

NPI: 1760678965
Provider Name (Legal Business Name): JENNIFER VOISINE KLOZE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER MARIE VOISINE PHARM.D.

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 WILLARD AVE
NEWINGTON CT
06111-2631
US

IV. Provider business mailing address

555 WILLARD AVE PHARMACY (119)
NEWINGTON CT
06111-2631
US

V. Phone/Fax

Practice location:
  • Phone: 860-666-6951
  • Fax:
Mailing address:
  • Phone: 203-465-5292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number10833
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: