Phillip Boddie

NPI #1043631252 in St Petersburg, Florida

Provider Information

NPI Number: 1043631252
Entity Type: Individual
Name: Phillip Boddie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 16, 2013
Last Updated: Dec 16, 2013

Practice Location

Address: 501 6TH AVE S
City: St Petersburg
State: Florida
ZIP Code: 33701-4634
Phone: (727) 767-6438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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