Individual
JENNIFER BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
723 LAKE FRANCES DR, CHARLESTON, SC 29412-4342
(843) 327-5350
Mailing address
723 LAKE FRANCES DR, CHARLESTON, SC 29412-4342
(843) 327-5350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6554
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6554
SC LICENSE PHARMACIST
SC
Enumeration date
02/10/2014
Last updated
02/10/2014
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