Individual
MAYA CLARE BOGUSLAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 342-4849
Mailing address
302 PRAIRIE HEIGHTS DR APT 201, VERONA, WI 53593-2218
(952) 649-7677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22637
WI
183500000X
Pharmacist
24857
IA
Other
Enumeration date
09/14/2023
Last updated
07/17/2024
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