Individual
JESSICA LYNN BOGUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5324 BRISTOLWOOD CIR, NORTHPORT, AL 35475-5938
(205) 792-7494
Mailing address
13620 HIGHWAY 43 N, NORTHPORT, AL 35475-4580
(205) 333-0678
(205) 333-0924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15563
AL
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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