Provider Demographics
NPI:1578522371
Name:KARY, BONNIE M
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:M
Last Name:KARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 9TH ST
Mailing Address - Street 2:PO BOX 457
Mailing Address - City:EUREKA
Mailing Address - State:SD
Mailing Address - Zip Code:57437-0457
Mailing Address - Country:US
Mailing Address - Phone:605-284-2027
Mailing Address - Fax:
Practice Address - Street 1:712 7TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:SD
Practice Address - Zip Code:57437
Practice Address - Country:US
Practice Address - Phone:605-284-2752
Practice Address - Fax:605-284-5142
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDT-0257183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician