Organization
PERSONAL MEDICATION CONSULTING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN KEITH BONNER R.PH. (PRESIDENT)
(706) 249-1680
Entity
Organization
Contact information
Practice address
6677 GLENMORE WAY, COLUMBUS, GA 31904-2466
(706) 249-1680
Mailing address
PO BOX 535, FORTSON, GA 31808-0535
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
017193
GA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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