Individual
VALENTIN BOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 E DUPONT RD, FORT WAYNE, IN 46825-2055
(260) 637-6115
Mailing address
429 W PIKE ST, GOSHEN, IN 46526-2362
(574) 534-7616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
CV2102887
IN
Other
Enumeration date
01/19/2022
Last updated
03/24/2022
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