Whalio Doctors

NPI 1053633503

Lisa E Bonner, RPH

Practitioner Pharmacist Watertown, NY

Practice location

Address
929 Arsenal St, Watertown, NY 13601-2305
Phone
(315) 788-0309
Fax
(315) 788-1702
Mailing address
929 Arsenal St, Watertown, NY 13601

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 33277 (NY)

Registry record

NPI
1053633503
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Feb 2010
Record last updated
25 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.