MR. Michael Shawn Boaz, R.PH

NPI #1780985325 in Clinton, Kentucky

Provider Information

NPI Number
1780985325
Entity Type
Individual
Name
MR. Michael Shawn Boaz, R.PH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
R.PH
Enumeration Date
Nov 13, 2010
Last Updated
Nov 13, 2010

Practice Location

Address
346 STATE ROUTE 58 E
ZIP Code
42031-9425
Phone
(270) 236-2588

Specialties & Taxonomy Codes

Specialty
Pharmacist

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