Individual
MR. ANDREW GONSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20 SOOJIAN DR, LEICESTER, MA 01524-1946
(508) 892-4058
(508) 892-4073
Mailing address
20 SOOJIAN DR, LEICESTER, MA 01524-1946
(508) 892-4058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH232622
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408255
—
MA
Enumeration date
12/17/2018
Last updated
12/17/2018
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