Individual
MR. STEPHEN BOSCHENREITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1710 N CHARLES ST, BELLEVILLE, IL 62221-4024
(618) 560-8643
Mailing address
1710 N CHARLES ST, BELLEVILLE, IL 62221-4024
(618) 560-8643
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2005016119
MO
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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