Individual
MR. GARY STEPHEN BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6225 ANNIE OAKLEY DR, LAS VEGAS, NV 89120-3914
(702) 436-8800
Mailing address
8310 CAMPANA DR, LAS VEGAS, NV 89147-5218
(702) 873-6071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13499
NV
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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