Individual
DR. DOUGLAS LEE BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., PHARM.D.
Contact information
Practice address
55 WADE AVENUE, MARYLAND PSYCHIATRIC RESEARCH CENTER, BALTIMORE, MD 21228
(410) 402-6818
Mailing address
8527 HARVEST VIEW CT, ELLICOTT CITY, MD 21043-6578
(210) 378-8028
(410) 402-6880
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
18190
MD
1835P1300X
Psychiatric Pharmacist
41917
TX
Other
Enumeration date
07/01/2005
Last updated
01/19/2010
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