Individual
BONITA BRIDGETT FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
220 S WAYSIDE DR, HOUSTON, TX 77011-4632
(713) 924-6963
Mailing address
3437 PALM ST, HOUSTON, TX 77004-6328
(713) 598-6776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24155
TX
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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