Individual
BERNARD BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3025 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2248
(928) 772-1613
Mailing address
3754 W JACKSONVILLE DR, ANTHEM, AZ 85086-2714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020408
AZ
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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