Individual
DAVID M. BOZARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1155 E PERSHING RD, DECATUR, IL 62526-4726
(217) 877-2374
Mailing address
1155 E PERSHING RD, DECATUR, IL 62526-4726
(217) 877-2374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-032167
IL
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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