Shannon Bonnarens

NPI #1104405257 in Lawton, Oklahoma

Provider Information

NPI Number: 1104405257
Entity Type: Individual
Name: Shannon Bonnarens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 6, 2021
Last Updated: Apr 6, 2021

Practice Location

Address: 5602 SW LEE BLVD
City: Lawton
State: Oklahoma
ZIP Code: 73505-9635
Phone: (580) 531-4712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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