Individual
BONNIE JEAN THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 N MAIN, VELVA, ND 58790-0010
(701) 338-2911
(701) 338-2886
Mailing address
PO BOX 10, VELVA, ND 58790-0010
(701) 338-2911
(701) 338-2886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3416
ND
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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