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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLA BETH BONNER, PHARM D

Active Sole Proprietor

CARLA BETH BONNER, PHARM D is a Long-Term Care Pharmacy healthcare provider located in PAULS VALLEY, Oklahoma. NPI 1649935834 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · PAULS VALLEY, OK

Registration Details

NPI Number
1649935834
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2021 (4.7537147377788 yrs)
Last Updated
Nov 3, 2021
Licenses
13816 (OK)
225176 (OK)
Sole Proprietor
Yes

Practice Information

Address
2008 W GRANT AVE
PAULS VALLEY, OK, 730759230
Browse OK providers · Browse ZIP 73075
Phone
4052387525
Fax
4052387135
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.