Provider Demographics
NPI:1306558663
Name:BONO FAMILY PHARMACY, LLC
Entity type:Organization
Organization Name:BONO FAMILY PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:CHARLENE
Authorized Official - Last Name:BARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-972-8310
Mailing Address - Street 1:10040 HIGHWAY 63 N STE 4
Mailing Address - Street 2:
Mailing Address - City:BONO
Mailing Address - State:AR
Mailing Address - Zip Code:72416-8669
Mailing Address - Country:US
Mailing Address - Phone:870-277-1543
Mailing Address - Fax:
Practice Address - Street 1:10040 HIGHWAY 63 N STE 4
Practice Address - Street 2:
Practice Address - City:BONO
Practice Address - State:AR
Practice Address - Zip Code:72416-8669
Practice Address - Country:US
Practice Address - Phone:870-277-1543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy