Individual
MR. WILLIAM C BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2320 5TH ST N, COLUMBUS, MS 39705-2214
(662) 328-4300
(662) 328-4306
Mailing address
2320 5TH ST N, COLUMBUS, MS 39705-2214
(662) 328-4300
(662) 328-4306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-8207
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11547
MISSISSIPPI CONTROLLED REGISTRATION CS11547
MS
Enumeration date
08/08/2012
Last updated
08/08/2012
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