Individual
JEFF BOGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
7601 HIGHWAY 70 S, NASHVILLE, TN 37221-1853
(615) 646-5173
Mailing address
3405 OLD ANDERSON RD UNIT 130, ANTIOCH, TN 37013-1026
(615) 367-4034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C-8977
TN
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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