Individual
MR. KERMIT WAYNE BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
Mailing address
36 MILL CREEK XING, HURRICANE, WV 25526-8701
(304) 757-3319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3110
WV
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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