Basic Information
| Provider Information | |||||||||
| NPI: | 1689785479 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HURD | ||||||||
| FirstName: | BRIDGET | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARM.D, | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 WINDY HILL LN | ||||||||
| Address2: | |||||||||
| City: | ROCKY HILL | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060672865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8604362333 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 555 WILLARD AVE | ||||||||
| Address2: | VA CT HEALTHCARE SYSTEM- ATTN: PHARMACY DEPARTMENT | ||||||||
| City: | NEWINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061112631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606666951 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 9761 | CT | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
No ID Information.