Individual
GARY BOGGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 PRATT AVE NE, HUNTSVILLE, AL 35801-3645
(256) 539-7443
(256) 539-1012
Mailing address
717 PRATT AVE NE, HUNTSVILLE, AL 35801-3645
(256) 539-7443
(256) 539-1012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9916
AL
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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