Individual
DR. JONATHAN BASIL BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
611 HIGHWAY 301 N, DILLON, SC 29536-2446
(843) 774-3400
Mailing address
611 HIGHWAY 301 N, DILLON, SC 29536-2446
(843) 774-3400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36681
SC
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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