Individual
BONNIE SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
10000 BAY PINES BLVD, DEPT OF VETERANS AFFAIRS MEDICAL CENTER, BAY PINES, FL 33744-9900
(727) 398-6661
Mailing address
11441 126TH TER, LARGO, FL 33778-1916
(727) 798-1395
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3201-0105-0761-105
FL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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