Individual
MICHEIL BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2205 WALKER LAKE RD, ONTARIO, OH 44903-6519
(419) 747-1450
Mailing address
2205 WALKER LAKE RD, ONTARIO, OH 44903-6519
(419) 747-1450
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
J3X7X9F6
OH
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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