Individual
BONITA LYNNE MOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2026 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4288
(218) 326-9431
(218) 326-9433
Mailing address
2026 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4288
(218) 326-9431
(218) 326-9433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115670
MN
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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