Individual
DR. NECTARIA BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 703-1223
Mailing address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 703-1223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024939A
IN
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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