Isaac Bogonko

NPI #1457734865 in Richardson, Texas

Provider Information

NPI Number: 1457734865
Entity Type: Individual
Name: Isaac Bogonko
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 2, 2015
Last Updated: Jul 2, 2015

Practice Location

Address: 1260 W SPRING VALLEY RD STE B
City: Richardson
State: Texas
ZIP Code: 75080-6720
Phone: (281) 250-4134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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