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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

NPI # 1649935834
Entity Organization
Organization subpart 1 Not specified
Enumeration date 11/03/2021
Last updated 11/03/2021 - About 5 years ago
Identifiers
OK License # 13816
OK License # 225176
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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