Search › Idaho › 183500000X
Bonnie Brannock-Simonson, PHARM D
NPI 1497164263 · on the registry since 2014
Practice
- Address
- 5108 Cleveland Blvd
Caldwell, ID 83607 - Phone
- (208) 455-0800
- Fax
- (208) 455-5353
- Organisation at this address
- Walmart Inc.
Kevin Cotter Odpa
Wal-Mart Stores, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho