Bonner's Pharmacy
NPI #1538378468 in Grenada, Mississippi
Provider Information
- NPI Number
- 1538378468
- Entity Type
- Organization
- Organization Name
- Bonner's Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 21, 2007
- Last Updated
- Mar 18, 2008
Practice Location
- Address
- 1000 J K AVENT DR
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5063
- Phone
- (662) 226-8825
Authorized Official
- Name
- BILLIE JAMES BONNER
- Title
- OWNER
- Phone
- (662) 226-8825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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