Individual
MICHELE C BONISTALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4150
(240) 632-4151
Mailing address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4150
(240) 632-4151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11261
MD
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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