Individual
MARIAH BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
5033 OLD MIDDLETON RD APT 200, MADISON, WI 53705-0018
(248) 895-7440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23563-40
WI
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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