Individual
MELISSA DAWN BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3325 28TH ST, BOULDER, CO 80301-1440
(303) 938-9284
Mailing address
3325 28TH ST, BOULDER, CO 80301-1440
(303) 938-9284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4238
WY
183500000X
Pharmacist
Primary
PHA.0023182
CO
Other
Enumeration date
07/14/2020
Last updated
09/23/2021
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