John Ryan Bonaobra
John Ryan Bonaobra is a Pharmacy Technician in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.
- Licensed in
- OK
- In the registry since
- 2021
Practice location Address checks out
1770 S Elm PlBroken Arrow, OK 74012-6453
Phone: (918) 258-6185
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence 26021 (OK) |
|---|
Record details
| NPI number | 1578156220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 13, 2021 |
| Last updated in NPPES | February 13, 2021 |
| Certification date | February 13, 2021 |
| Mailing address | 1770 S Elm Pl, Broken Arrow, OK 74012-6453 |