NPI 1710008198
Glenn R Bonifield Jr
Practice location
- Address
- 131 E Main St, Bells, TN 38006-4167
- Phone
- (731) 663-2077
- Fax
- (731) 663-2077
- Mailing address
- PO Box 280, Bells, TN 38006-0280
Authorised official
- Name
- Glenn Bonifield
- Title
- Owner
- Phone
- (731) 663-2077
Registered specialties (2)
Community/Retail Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1710008198
- Entity type
- Organization
- NPI issued
- 3 Apr 2007
- Record last updated
- 3 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.