Individual
JEFFERY BOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1038 US HIGHWAY 80 W, POOLER, GA 31322-2114
(912) 748-5155
Mailing address
1038 US HIGHWAY 80 W, POOLER, GA 31322-2114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH.36320
SC
183500000X
Pharmacist
Primary
RPH028790
GA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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