Individual
BONNIE JEAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. IN PHARMACY
Contact information
Practice address
8222 18TH AVE, BROOKLYN, NY 11214-2901
(718) 256-6636
Mailing address
8222 18TH AVE, BROOKLYN, NY 11214-2901
(718) 256-6636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00908030
—
NY
Enumeration date
03/17/2008
Last updated
03/17/2008
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