Most Relevant Information
Provider Data
| NPI Number: | 1003028010 |
| Provider Name: | MIGUEL A BONET DPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 11822 |
Most Important Dates
| Enumeration Date: | 05/03/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1403 RUSSELL AVE
JEFFERSON CITY
TN
377602530
Practice Location Phone/Fax
| Phone: | 8654753836 |
| Fax: | 8654754034 |
Provider Mailing Location
1403 RUSSELL AVE
JEFFERSON CITY
TN
377602530
Provider Mailing Phone/Fax
| Phone: | 8654753836 |
| Fax: | 8654754034 |