Kayla Bourbonniere
Pharmacist in Cranston, RI. Individual provider (NPI-1).
NPI number1982204335
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1982204335
- Entity type
- Individual (NPI-1)
- Name
- Kayla Bourbonniere
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH05903 | RI | Yes |
| 183500000X | Pharmacist | PH238232 | MA |
Practice location
1776 Plainfield PikeCranston, RI 02921-2042
Phone 401-946-2040
Mailing address
3 Ivy DrCoventry, RI 02816-8529
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All 81 Pharmacist providers in Cranston · All 1,883 providers in Cranston
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