Individual
DR. BERNADETTE REUST GONCHAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
93 LINCOLNVILLE AVE, BELFAST, ME 04915-6461
(207) 338-1918
(207) 338-1276
Mailing address
249 MAIN ST, ROCKPORT, ME 04856-5722
(207) 956-3762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
ADV28852
ME
183500000X
Pharmacist
PH234288
MA
183500000X
Pharmacist
Primary
PR12613
ME
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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