Provider Demographics
NPI:1326484098
Name:BONITA PHARMACEUTICALS LLC
Entity Type:Organization
Organization Name:BONITA PHARMACEUTICALS LLC
Other - Org Name:BONITA PHARMACEUTICALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALPESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-729-7200
Mailing Address - Street 1:6380 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-9120
Mailing Address - Country:US
Mailing Address - Phone:734-729-7200
Mailing Address - Fax:734-729-7288
Practice Address - Street 1:6380 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-9120
Practice Address - Country:US
Practice Address - Phone:734-729-7200
Practice Address - Fax:734-729-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5306003665333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy