DR. Kenneth Mark Bodenhagen, PHARM D

NPI #1013983105 in Bolingbrook, Illinois

Provider Information

NPI Number: 1013983105
Entity Type: Individual
Name: DR. Kenneth Mark Bodenhagen, PHARM D
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Feb 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 225 N WEBER RD
City: Bolingbrook
State: Illinois
ZIP Code: 60490-1505
Phone: (630) 679-6533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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