Boesen, Mark D

Boesen, Mark D is an individual health care provider with primary practice located at 23620 N 20Th Dr Ste 12, Phoenix AZ 85085-0621. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Boesen, Mark D can be contacted via phone (623) 225-8772.

Contact Information

Primary practice address
23620 N 20Th Dr Ste 12 Phoenix AZ 85085-0621
Phone: (623) 225-8772
Fax: (623) 321-6694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10941 Arizona
Pharmacy Service Providers / Pharmacist 183500000X 202012069 Virginia
Pharmacy Service Providers / Pharmacist 183500000X PR4864 Maine
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 17250 Nevada
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 17892 Colorado
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 19460 North Carolina

Profile Details

NPI number 1154489136
LBN Legal business name Boesen, Mark D
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated May 10th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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