Individual
ALANA CLAIRE BONGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
522 OAK ST, BARABOO, WI 53913-2424
(608) 356-8701
Mailing address
522 OAK ST, BARABOO, WI 53913-2424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16341-40
WI
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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