Individual
MR. DAVID STETSON BOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
25737 US RT 11, EVANS MILLS, NY 13637
(315) 629-2402
(315) 629-4305
Mailing address
210 N. BROAD STREET, BOX #184, SACKETS HARBOR, NY 13685-0184
(315) 646-9055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035307
NY
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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