Individual
BONNIE BRANNOCK-SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
5108 CLEVELAND BLVD, CALDWELL, ID 83607-8002
(208) 455-0800
(208) 455-5353
Mailing address
5108 CLEVELAND BLVD, CALDWELL, ID 83607-8002
(208) 455-0800
(208) 455-5353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6122
ID
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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