Individual
MACKENZIE ELIZABETH BOSOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 S MAIN ST, ADA, OH 45810-1503
(419) 634-0888
Mailing address
809 S MAIN ST, ADA, OH 45810-1506
(937) 707-5205
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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