NPI 1437267580

Gary Bongey, RPH

Practitioner Pharmacist Verona, WI

Practice location

Address: 202 S Main St, Verona, WI 53593-1422
Phone: (608) 848-8020
Fax: (608) 848-8024
Mailing address: 405 Melody Ln, Verona, WI 53593-1431

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10104-040 (WI)

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Registry record

NPI: 1437267580
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2006
Record last updated: 8 Jul 2007

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.