Provider Demographics
NPI:1558958231
Name:BONPIN, ALLISON MAY LOCSIN (RPH)
Entity Type:Individual
Prefix:
First Name:ALLISON MAY
Middle Name:LOCSIN
Last Name:BONPIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17916 HOLMES AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-8917
Mailing Address - Country:US
Mailing Address - Phone:650-243-7086
Mailing Address - Fax:
Practice Address - Street 1:17916 HOLMES AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-8917
Practice Address - Country:US
Practice Address - Phone:650-243-7086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist