Individual
LAURA DAVIS BOGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
710 SPRING ST, PETOSKEY, MI 49770-2851
(231) 348-5556
(231) 348-0826
Mailing address
710 SPRING ST, PETOSKEY, MI 49770
(231) 348-5556
(231) 348-0826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17907
NV
183500000X
Pharmacist
Primary
5302025051
MI
183500000X
Pharmacist
S018057
AZ
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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