Individual
TIM P BONDARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(547) 296-7526
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014780
OR
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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