Individual
NICHOLE RENEE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7045 O ST., LINCOLN, NE 68510
(402) 484-8222
Mailing address
PO BOX 374, PONCA, NE 68770
(712) 898-1687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16499
NE
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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