IndividualActive
Carla Bonner, PHARM D
NPI 1649935834 · Community/Retail Pharmacy · Pauls Valley, OK
Provider details
- NPI number
- 1649935834
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13816 (OK)
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
Practice location
2008 W Grant Ave
Pauls Valley, OK 73075-9230
Phone: (405) 238-7525
Fax: (405) 238-7135
Approximate (ZIP-level) locationGet directions
Mailing address
2008 W Grant Ave
Pauls Valley, OK 73075-9230
Registry dates
- Enumerated
- 2021-11-03
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.