Individual provider · NPI-1

Kathleen Bonner, RPh

Pharmacist · Camden, NJ

NPI number1316166937
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1316166937
Entity type
Individual (NPI-1)
Name
Mrs. Kathleen Bonner
Credential
RPh
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 24, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28RI01890000NJYes

Practice location

1600 Haddon Ave
Camden, NJ 08103-3101

Phone 856-757-3539

Mailing address

6 Skyline Cir
Sewell, NJ 08080-4344

Phone 856-468-6526

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