Individual
JILL DIANE BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3061 KINGSDALE CTR, COLUMBUS, OH 43221-2009
(614) 538-0801
(614) 538-0825
Mailing address
3061 KINGSDALE CTR, COLUMBUS, OH 43221-2009
(614) 538-0801
(614) 538-0825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03120493
OH
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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