Individual
MR. ALVA DANIEL HOWARD BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
549 S WEST ST, PIKETON, OH 45661-0686
(740) 289-2269
(740) 289-4586
Mailing address
549 S WEST ST, PO BOX 686, PIKETON, OH 45661-0686
(740) 289-2269
(740) 289-4586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03310471
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387531
—
OH
Enumeration date
10/17/2006
Last updated
07/08/2007
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