Individual
DR. CHARLES BRUCE BOGGS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1841 N 25TH ST, MIDDLESBORO, KY 40965-1853
(606) 248-9330
(606) 248-9337
Mailing address
1841 N 25TH ST, MIDDLESBORO, KY 40965-1853
(606) 248-9330
(606) 248-9337
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
10521
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10521
KY LISCENSE #
KY
Enumeration date
08/17/2006
Last updated
07/08/2007
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