Individual
GERALD MICHAEL BONKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 STEVENS DR, PHILA, PA 19113-1520
(215) 863-6483
Mailing address
19 TEAL DR, LANGHORNE, PA 19047-8233
(215) 715-6893
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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