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DR. DOUGLAS GRANT BOEHME PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1316248958

Individual Registrant:
DR. DOUGLAS GRANT BOEHME PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10576 KENAI SPUR HWY  KENAI, AK 99611-7811 US
Tel: 907-283-6360  Fax: 907-283-6319

Contact information for business:
10576 KENAI SPUR HWY  KENAI, AK 99611-7811 US
Tel: 907-283-6360  Fax: 907-283-6319

Registration Information:
NPI: 1316248958
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AK1776

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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