Individual
DR. CHRISTIAN GOSWIN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
26 MADDEX SQUARE DR, SHEPHERDSTOWN, WV 25443-4321
(304) 876-0505
(304) 876-8412
Mailing address
324 E ANTIETAM ST, HAGERSTOWN, MD 21740-5754
(301) 766-4167
(301) 745-4164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
020212955
VA
183500000X
Pharmacist
Primary
15461
MD
183500000X
Pharmacist
RP439808
PA
183500000X
Pharmacist
WV6243
WV
Other
Enumeration date
04/03/2007
Last updated
06/08/2015
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