Provider Demographics
NPI:1861841546
Name:GUERETTE, KARI ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:ANN
Last Name:GUERETTE
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:PO BOX 397
Mailing Address - Street 2:629 MAIN STREET
Mailing Address - City:SOMERS
Mailing Address - State:CT
Mailing Address - Zip Code:06071-0397
Mailing Address - Country:US
Mailing Address - Phone:860-749-3433
Mailing Address - Fax:860-749-0731
Practice Address - Street 1:629 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:CT
Practice Address - Zip Code:06071-2102
Practice Address - Country:US
Practice Address - Phone:860-749-3433
Practice Address - Fax:860-749-0731
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0007550183500000X
MAPH21612183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist