Individual
MR. KURT ALAN BOESGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
306 WEST NORTH STREET, ENTERPRISE, OR 97828
(541) 426-7455
(541) 426-7445
Mailing address
306 WEST NORTH STREET, ENTERPRISE, OR 97828
(541) 426-7455
(541) 426-7445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA-PHA-LIC-39893
MT
183500000X
Pharmacist
PS53244
FL
183500000X
Pharmacist
RPH-0013994
OR
183500000X
Pharmacist
Primary
RPH015299
GA
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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