Provider Demographics
NPI:1407837081
Name:OHLUND, JOHN ARTHUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ARTHUR
Last Name:OHLUND
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 SOUTH ST
Mailing Address - Street 2:BOX #914
Mailing Address - City:COVENTRY
Mailing Address - State:CT
Mailing Address - Zip Code:06238-3224
Mailing Address - Country:US
Mailing Address - Phone:860-742-7819
Mailing Address - Fax:860-871-7142
Practice Address - Street 1:40 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:CT
Practice Address - Zip Code:06066-3501
Practice Address - Country:US
Practice Address - Phone:860-875-9263
Practice Address - Fax:860-871-7142
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist