NPI 1235733171

Bernadette Reust Goncharova, RPH

Practitioner Pharmacist Belfast, ME

Practice location

Address: 93 Lincolnville Ave, Belfast, ME 04915-6461
Phone: (207) 338-1918
Fax: (207) 338-1276
Mailing address: 249 Main St, Rockport, ME 04856-5722

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR12613 (ME)

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Registry record

NPI: 1235733171
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2020
Record last updated: 22 Nov 2020

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.