Tyler John Bogardus

NPI #1053778399 in Watkins Glen, New York

Provider Information

NPI Number: 1053778399
Entity Type: Individual
Name: Tyler John Bogardus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 18, 2016
Last Updated: Jan 18, 2016

Practice Location

Address: 506 S FRANKLIN ST
City: Watkins Glen
State: New York
ZIP Code: 14891-1524
Phone: (607) 535-7350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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