Glenn R Bonifield Jr Valid NPI

Organization · Community/Retail Pharmacy · Bells, TN

NPI

1710008198

Type

Organization (Type 2)

Primary specialty

Community/Retail Pharmacy (Pharmacy)

Specialty group

Suppliers

Taxonomy code

3336C0003X

License number

00000120 (TN)

Enumerated

2007-04-03

Last updated

2016-02-03