IndividualActive
Miguel Bonet, DPH
NPI 1003028010 · Pharmacist · Jefferson City, TN
Provider details
- NPI number
- 1003028010
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- DPH
- Sex
- Male
- Sole proprietor
- No
- License
- 11822 (TN)
Practice location
1403 Russell Ave
Jefferson City, TN 37760-2530
Phone: (865) 475-3836
Fax: (865) 475-4034
Mailing address
1403 Russell Ave
Jefferson City, TN 37760-2530
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.