Amanda Rae Bonner, PHARMD

Pharmacist · Tahlequah, OK

Individual Active NPI

NPI number 1093016529

Practice location

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone
(918) 458-3100

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NPI record

NPI
1093016529
Entity type
Individual (Type 1)
Enumeration date
November 15, 2010
Last updated
November 15, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 14738 OK

About Dr. Bonner

Amanda Rae Bonner, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 100 S Bliss Ave, Tahlequah, OK 74464-2512. The NPI number 1093016529 was assigned on November 15, 2010 and the record was last updated on November 15, 2010.

Dr. Bonner lists a license in the registry: #14738 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Rae Bonner, PHARMD?

The NPI number is 1093016529.

What is the phone number of Dr. Bonner?

The phone number listed for the practice location is (918) 458-3100.

Where is Dr. Bonner located?

100 S Bliss Ave, Tahlequah, OK 74464-2512.

What is the taxonomy code for Dr. Bonner?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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