Individual
BETHANY DIANNE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D,
Contact information
Practice address
3100 GENTILLY BLVD, NEW ORLEANS, LA 70122-3854
(504) 940-1498
Mailing address
854 S CLEARVIEW PKWY, APT 317, RIVER RIDGE, LA 70123-6310
(301) 437-4745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020236
LA
Other
Enumeration date
09/01/2013
Last updated
09/01/2013
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