Individual
JOEL BOERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPP
Contact information
Practice address
1300 RANCHO DEL ORO DR, MAILCODE: 116Y, OCEANSIDE, CA 92056
(760) 643-2092
Mailing address
1300 RANCHO DEL ORO DR, MAILCODE: 116Y, OCEANSIDE, CA 92056
(760) 643-2092
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
9618
CT
Other
Enumeration date
07/05/2005
Last updated
10/28/2015
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