Organization
BOGGS PHARMACY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL D BOGGS RPH (PRESIDENT PHARMACIST)
(606) 832-2121
Entity
Organization
Contact information
Practice address
9500 HIGHWAY 805, JENKINS, KY 41537
(606) 832-2121
Mailing address
PO BOX 747, JENKINS, KY 41537
(606) 832-2121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P02547
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
P02547
KY
3336C0003X
Community/Retail Pharmacy
Primary
3336C0003X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54012422
—
KY
Enumeration date
11/01/2006
Last updated
08/26/2008
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