Provider Demographics
NPI:1265077945
Name:DUMAS, TROY (PHARMD)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:DUMAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 FLANDERS RD
Mailing Address - Street 2:
Mailing Address - City:MYSTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06355-1504
Mailing Address - Country:US
Mailing Address - Phone:401-487-6324
Mailing Address - Fax:
Practice Address - Street 1:10 LATHROP RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:CT
Practice Address - Zip Code:06374-2030
Practice Address - Country:US
Practice Address - Phone:860-564-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-17
Last Update Date:2019-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH05728183500000X
MAPH237557183500000X
CTPCT.0014260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist