Individual
MICHAEL BOCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7521
Mailing address
328 TORMEY LN NE, APARTMENT 254, BAINBRIDGE ISLAND, WA 98110-2888
(219) 241-7743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26025681A
IN
183500000X
Pharmacist
Primary
PH60496140
WA
Other
Enumeration date
09/25/2014
Last updated
02/19/2020
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