Provider Demographics
NPI:1154191310
Name:SCHLEICHER, COLIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:
Last Name:SCHLEICHER
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 1:27 RIVAL CT
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06118-2738
Mailing Address - Country:US
Mailing Address - Phone:860-803-4240
Mailing Address - Fax:
Practice Address - Street 1:1078 SILAS DEANE HWY
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-4231
Practice Address - Country:US
Practice Address - Phone:860-529-2535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT16320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist