Individual
ELBERT BOQUIREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ELBERT BOQUIREN
Contact information
Practice address
2811 HOLMANS LN, JEFFERSONVILLE, IN 47130-5915
(812) 288-9287
Mailing address
3118 LACEWOOD LN, NEW ALBANY, IN 47150-9478
(502) 649-1625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018785A
IN
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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