Individual
TAMMY JEAN BONANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 CENTRE OF NEW ENGLAND BLVD, COVENTRY, RI 02816-6081
(401) 823-7060
Mailing address
650 CENTRE OF NEW ENGLAND BLVD, COVENTRY, RI 02816-6081
(401) 823-7060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3398
RI
183500000X
Pharmacist
RPH0007218
CT
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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