Individual
DR. CHARLES BONANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
10016 PINES BLVD, PEMBROKE PINES, FL 33024-6137
(954) 435-7200
(954) 424-9782
Mailing address
10016 PINES BLVD, PEMBROKE PINES, FL 33024-6137
(954) 435-7200
(954) 424-9782
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
PU 5487
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS20670
FL
Other
Enumeration date
06/23/2005
Last updated
06/19/2023
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