Individual
DR. NATHANIEL BOSSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
100 PIERCE ST, SIOUX CITY, IA 51101-1434
(712) 252-4669
(712) 252-4906
Mailing address
100 PIERCE ST, SIOUX CITY, IA 51101-1434
(712) 252-4669
(712) 252-4906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21358
IA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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