Tracey Donovan

NPI #1104377837 in East Berlin, Connecticut

Provider Information

NPI Number: 1104377837
Entity Type: Individual
Name: Tracey Donovan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 18, 2016
Last Updated: Oct 18, 2016

Practice Location

Address: 80 CLARK DR
City: East Berlin
State: Connecticut
ZIP Code: 06023-1157
Phone: (888) 319-1818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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