Individual
HEATHER LYNNETTE BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GRAND CENTRAL AVE, VIENNA, WV 26105-2143
(304) 422-3526
(304) 485-3501
Mailing address
340 WOODYARDS CAVE RD, PARKERSBURG, WV 26104-8237
(304) 483-1284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6190
WV
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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