Individual
DR. GRETCHEN LEE BONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARM D
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5265
(218) 333-5250
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5265
(218) 333-5250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115828
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115828
MN PHARMACIST LICENSE NUMBER
MN
Enumeration date
02/12/2014
Last updated
02/12/2014
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