Bogue, Justin Harley

Bogue, Justin Harley is an individual health care provider with primary practice located at 301 W Thomas St , Lake City SC 29560-3243. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bogue, Justin Harley can be contacted via phone (843) 394-5434.

Contact Information

Primary practice address
301 W Thomas St Lake City SC 29560-3243
Phone: (843) 394-5434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS47956 Florida
Pharmacy Service Providers / Pharmacist 183500000X 13474 South Carolina

Profile Details

NPI number 1952684318
LBN Legal business name Bogue, Justin Harley
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Dec 4th, 2014 - about 11 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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