Individual
PATRICK L BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 EAST PALMETTO STREET, PLAIN DEALING, LA 71064-0188
(318) 326-4229
(318) 326-5903
Mailing address
PO BOX 188, PLAIN DEALING, LA 71064
(318) 326-4229
(318) 326-5903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11960
LA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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