Individual
BONNIE J MARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
3801 MIRANDA AVE, PHARMACY DEPARTMENT - MAIL CODE 119, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0309
Mailing address
123 KESTREL CT, BRISBANE, CA 94005-1231
(415) 468-5447
(650) 849-0309
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
41670
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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