Organization
BONNER DISCOUNT DRUGS
Active
Other names
BONNER DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BONNER (OWNER PHARMACIST)
(601) 735-2141
Entity
Organization
Contact information
Practice address
1017 HIGHWAY 84 E, WAYNESBORO, MS 39367-2632
(601) 735-2141
(601) 735-2141
Mailing address
1017 HIGHWAY 84 E, WAYNESBORO, MS 39367-2632
(601) 735-2141
(601) 735-2141
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01569
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095028
—
MS
01
—
2044342
PK
—
Enumeration date
10/10/2006
Last updated
09/28/2016
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