Individual
RYAN BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1300 WABASH AVE, TERRE HAUTE, IN 47807-3314
(812) 234-5147
(812) 232-1274
Mailing address
1300 WABASH AVE, TERRE HAUTE, IN 47807-3314
(812) 234-5147
(812) 232-1274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019301A
IN
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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