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BONAVY GUSACK PHARM.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1891855599

Individual Registrant:
 BONAVY  GUSACK PHARM.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 VA MEDICAL CENTER VA MEDICAL CENTER TOGUS, ME 04330 US
Tel: 207-623-8411  Fax: --

Contact information for business:
PO BOX 3041  AUGUSTA, ME 04330-3041 US
Tel: 315-280-6726  Fax: --

Registration Information:
NPI: 1891855599
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MEPR5279

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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