Individual
MS. BERNADETTE O'BRIEN ELLEGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
80 N MAIN ST UNIT 36, KENT, CT 06757-1523
(203) 240-1900
Mailing address
PO BOX 373, KENT, CT 06757-0373
(203) 240-1900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
034215
NY
183500000X
Pharmacist
PCT.0010997
CT
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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