Boggs, Charles Bruce

Boggs, Charles Bruce is an individual health care provider with primary practice located at 1841 N 25Th St , Middlesboro KY 40965-1853. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Boggs, Charles Bruce can be contacted via phone (606) 248-9330.

Contact Information

Primary practice address
1841 N 25Th St Middlesboro KY 40965-1853
Fax: (606) 248-9337
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 10521 Kentucky

Profile Details

NPI number 1346353828
LBN Legal business name Boggs, Charles Bruce
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346353828 NPPES
Kentucky Other 10521 KY LISCENSE #

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