Provider Demographics
NPI:1710157599
Name:GURR, BONNIE ELAINE (RPH)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:ELAINE
Last Name:GURR
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 1:471 ROCKY CIR
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-1389
Mailing Address - Country:US
Mailing Address - Phone:706-745-7153
Mailing Address - Fax:
Practice Address - Street 1:471 ROCKY CIR
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-1389
Practice Address - Country:US
Practice Address - Phone:706-745-7153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC175181835P1200X
GARPH0107481835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy