Individual
SHANNON BONNARENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4712
Mailing address
PO BOX 693, CACHE, OK 73527-0693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12893
OK
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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