Individual
JESSICA BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
116 PROGRESS DR, MOUNT VERNON, KY 40456-8590
(606) 256-2143
Mailing address
116 PROGRESS DR, MOUNT VERNON, KY 40456-8590
(606) 256-2143
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
020776
KY
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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