Individual
SUSAN BORONESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
855 WASHINGTON STREET, MIDDLETOWN, CT 06457
(860) 740-7707
Mailing address
855 WASHINGTON STREET, MIDDLETOWN, CT 06457
(860) 740-7707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9753
CT
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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