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Contact Information

GERALD M BONKO, RPH
200 STEVENS DR
PHILADELPHIA, PA19113-1520
 Phone: 215-863-6483
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GERALD M BONKO · (Male)

NPI # 1235612920
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 09/10/2018
Last updated 09/10/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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