National Provider Identifier

Jose Luis Bonilla, PHARM.D

Jose Luis Bonilla, PHARM.D is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 894-6565.

NPI 1689859779Buffalo, NYPharmacist

Profile Overview

NPI
1689859779
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
January 08, 2008
Last Updated
January 08, 2008

Practice Location

  • 1070 Genesee St
  • Buffalo, NY 14211-3007

Phone: (716) 894-6565

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1689859779
Entity Type
Individual
Last Name
Bonilla
First Name
Jose
Middle Name
Luis
Name Prefix
Dr.
Credential
PHARM.D
Mailing Street Address
1070 Genesee St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14211-3007
Mailing Country
US
Mailing Phone
(716) 894-6565
Mailing Fax
(716) 894-8349
Practice Street Address
1070 Genesee St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14211-3007
Practice Country
US
Practice Phone
(716) 894-6565
Practice Fax
(716) 894-8349
Enumeration Date
January 08, 2008
Last Updated
January 08, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)