Individual
SHANNON GONIWIECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(857) 215-2038
(586) 419-7084
Mailing address
55 W 5TH ST PH 601, SOUTH BOSTON, MA 02127-5008
(586) 419-7084
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
PH1001178
MA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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