Individual
MS. DONNA MEDOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 FLANDERS RD, EAST LYME, CT 06333-1710
(860) 739-9007
(860) 739-7880
Mailing address
340 FLANDERS RD, EAST LYME, CT 06333-1710
(860) 739-9007
(860) 739-7880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7056
CT
Other
Enumeration date
04/13/2011
Last updated
03/03/2014
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