Individual
GENA BOSSHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 GROVE STREET, AUGUSTA, ME 04330-4667
(207) 629-9401
Mailing address
45 GROVE STREET, AUGUSTA, ME 04330-4667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5626
ME
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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