Individual
MR. GARY BONGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
202 S MAIN ST, VERONA, WI 53593-1422
(608) 848-8020
(608) 848-8024
Mailing address
405 MELODY LN, VERONA, WI 53593-1431
(608) 848-8020
(608) 848-8024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10104-040
WI
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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