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Contact Information

CARLA B BONNER, PHARM.D.
2008 W GRANT AVE
PAULS VALLEY, OK73075-9230
 Phone: 405-238-7525
 Fax: 405-238-7135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for CARLA B BONNER · (Female)

NPI # 1649935834
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 11/03/2021
Last updated 11/03/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 13816
  • OK License # 225176
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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