Individual
DONALD J. BOISVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
77 OLD BRICKYARD LN, SUITE 1, BERLIN, CT 06037-1423
(800) 282-4321
(800) 643-5093
Mailing address
51 TROTTER LN, NEWINGTON, CT 06111-5334
(860) 665-7717
(800) 643-5093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4783
CT
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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