Individual
KIMBERLY JILL BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 7TH ST S, CLANTON, AL 35045-3746
(205) 755-7574
Mailing address
9204 RETREAT CIR, BIRMINGHAM, AL 35242-7336
(205) 862-2591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13472
AL
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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