Individual
MELISSA BONANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
24 PERSHING DR, ANSONIA, CT 06401-2214
(203) 735-7837
Mailing address
24 PERSHING DR, ANSONIA, CT 06401-2214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9218
CT
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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