Individual
CHARLES BAKER BOMBARDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
85 TREE HILL RD, BERLIN, CT 06037-3006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8375
CT
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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