Individual
BONNIE ANN ORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1000 W LINCOLNWAY ST, JEFFERSON, IA 50129-1645
(515) 386-2114
Mailing address
1108 W ADAMS ST, JEFFERSON, IA 50129-1453
(515) 386-2114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15394
IA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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