Doctor Name: | AIDA L BONILLA |
NPI Number: | 1346346590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4892 |
Business Practice Address: | 405 Paseo Del Rio Shopping Mall Ste. 3 Anasco, PR - 006100518 |
Business Phone Number: | 7878269292 |
Business Fax Number: | 7878269393 |
Mailing Address: | Urb. Vista Del Rio, Bloque N-4 ANASCO |
State: | PR |
Postal Code: | 006100518 |
Phone Number: | 7878269292 |
Fax Number: | 7878269393 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 4892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |