Jeremy Bonnell

NPI #1609282680 in Wartburg, Tennessee

Provider Information

NPI Number: 1609282680
Entity Type: Individual
Name: Jeremy Bonnell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 10, 2014
Last Updated: Jul 10, 2014

Practice Location

Address: 926 MAIN ST
City: Wartburg
State: Tennessee
ZIP Code: 37887-4199
Phone: (423) 346-3505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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