Individual
MR. BRYAN KEITH BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
6677 GLENMORE WAY, COLUMBUS, GA 31904-2466
(706) 327-8636
Mailing address
6677 GLENMORE WAY, COLUMBUS, GA 31904-2466
(706) 327-8636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017193
GA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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