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Individual

DANIEL R BONOGOFSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
REG. PHARMACIST

Contact information

Practice address
104 W 5TH AVE, SPOKANE, WA 99204-4880
(509) 474-2232
(509) 474-2233
Mailing address
104 W 5TH AVE, SPOKANE, WA 99204-4880
(509) 474-2232
(509) 474-2233

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P00007966
WA
1835P1200X
Pharmacotherapy Pharmacist
P00007966
WA

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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