Individual
MR. ROBERT ALBERT WOLLENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
57 SOUTH ST, BRISTOL, CT 06010-6524
(860) 583-1006
(860) 582-2810
Mailing address
122 HOLLYBERRY RD, BRISTOL, CT 06010-2971
(860) 584-0587
(860) 582-2810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5012
CT
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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