NPI 1306726567

Quincy Edwige Jacques

Practitioner Pharmacist South Windsor, CT

Practice location

Address: 525 Buckland Rd, South Windsor, CT 06074-3746
Phone: (860) 644-4241
Mailing address: 16 Christopher Dr, Enfield, CT 06082-5759

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0017118 (CT)

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Registry record

NPI: 1306726567
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2025
Record last updated: 6 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.