Individual
CARLA O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 ANNIE GEORGE DR, MASHANTUCKET, CT 06338-3801
(860) 396-6430
Mailing address
43 SPENCER CT, WAKEFIELD, RI 02879-2820
(401) 527-0703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0011256
CT
183500000X
Pharmacist
PH20274
MA
183500000X
Pharmacist
RPH03401
RI
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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