Individual
ERIC BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3503 10TH ST, GREAT BEND, KS 67530-3538
(620) 792-5237
Mailing address
3503 10TH ST, GREAT BEND, KS 67530-3538
(316) 792-5237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11783
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
KS
Enumeration date
06/07/2018
Last updated
10/18/2022
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