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BERNARD BOATENG

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1881155968

Individual Registrant:
 BERNARD  BOATENG 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3025 N WINDSONG DR  PRESCOTT VALLEY, AZ 86314-2248 US
Tel: 928-772-1613  Fax: --

Contact information for business:
3754 W JACKSONVILLE DR  ANTHEM, AZ 85086-2714 US
Tel: --  Fax: --

Registration Information:
NPI: 1881155968
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AZS020408

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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