MATHILDA THERESA BOGARD

SHEPHERDSVILLE, KY
NPI1427340405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KY  013999)
Additional Taxonomies183500000X Pharmacist
(Licence: OH  03327739)
Enumeration Date2011-05-09
Last Update Date2011-05-09
Business Address
-- MATHILDA THERESA BOGARD
445 HIGHWAY 44 E SHEPHERDSVILLE SQUARE
SHEPHERDSVILLE, KY 40165-6020
Phone number: 502-543-2533
Mailing Address
-- MATHILDA THERESA BOGARD
2390 MILLER RD
GUSTON, KY 40142-7101
Phone number: 270-547-6017