Individual
MR. MICHAEL SHAWN BOAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
346 STATE ROUTE 58 E, CLINTON, KY 42031-9425
(270) 236-2588
(270) 236-9162
Mailing address
346 STATE ROUTE 58 E, CLINTON, KY 42031-9425
(270) 236-2588
(270) 236-9162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014549
KY
Other
Enumeration date
11/13/2010
Last updated
11/13/2010
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