Individual
DR. JARRED SCOTT BOGARDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
178 E SHELDON ST, PRESCOTT, AZ 86301-3114
(928) 776-1936
Mailing address
5700 MARKET ST, PRESCOTT VALLEY, AZ 86314-6512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022966
AZ
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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