Individual
COLETTE BISSONNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
258 POST RD, WESTERLY, RI 02891-2630
(401) 322-0793
Mailing address
18A LADY SLIPPER TRL, CHARLESTOWN, RI 02813-3415
(401) 465-5734
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3264
RI
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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