Individual
BONNIE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.D.
Contact information
Practice address
3610 GRAND AVE, FORT SMITH, AR 72904-6842
(479) 783-5171
(479) 783-0433
Mailing address
1002 S 26TH ST, FORT SMITH, AR 72901-4118
(479) 782-5940
(479) 783-0433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6861
AR
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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