Individual
GORDON HENRY BOKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT, FORT WAYNE, IN 46804-4140
(260) 435-7718
(260) 435-6739
Mailing address
15901 BLUFFTON RD, FORT WAYNE, IN 46819-9523
(260) 622-4967
(260) 435-6739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013510A
IN
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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