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Individual

BONAVY GUSACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1 VA MEDICAL CENTER, VA MEDICAL CENTER, TOGUS, ME 04330
(207) 623-8411
Mailing address
PO BOX 3041, AUGUSTA, ME 04330-3041
(315) 280-6726

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5279
ME

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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