Individual
DR. BONIFACE FOGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
9005 E 350, RAYTOWN, MO 64133-5716
(816) 356-4881
(816) 356-3056
Mailing address
9005 E 350, RAYTOWN, MO 64133-5716
(816) 356-4881
(816) 356-3056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018036668
MO
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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