Individual
BONNY DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6 KENDALL WAY, MALTA, NY 12020-4399
(518) 899-0076
(518) 899-1134
Mailing address
6 KENDALL WAY, MALTA, NY 12020-4399
(518) 899-0076
(518) 899-1134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042841
NY
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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