| Organization Name: | BOGGS PHARMACY,INC. |
| NPI Number: | 1790863710 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WENDELL D BOGGS (PRESIDENT PHARMACIST) |
| Mailing Address: | 9500 Highway 805 Jenkins |
| State: | KY US |
| Postal Code: | 41537 |
| Phone Number: | 6068322121 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | P02547 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |