Individual
AUDREY BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
759 CHESTNUT ST, SG557, SPRINGFIELD, MA 01199-1001
(413) 794-0000
Mailing address
PO BOX 575, THORNDIKE, MA 01079-0575
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH 27518
MA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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