Provider Demographics
NPI:1619033495
Name:MAY, BONNIE J (RPH, MBA)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:J
Last Name:MAY
Suffix:
Gender:F
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 RAWSON ST
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01524-2024
Mailing Address - Country:US
Mailing Address - Phone:508-892-3714
Mailing Address - Fax:508-890-5561
Practice Address - Street 1:1 CHESTNUT PL
Practice Address - Street 2:FALLON COMMUNITY HEALTH PLAN
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2898
Practice Address - Country:US
Practice Address - Phone:508-368-9573
Practice Address - Fax:508-890-5561
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18008183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist