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1720597073
JARRED SCOTT BOGARDUS
PRESCOTT, AZ
NPI
1720597073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S022966)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
Dr. JARRED SCOTT BOGARDUS Pharm. D.
178 E SHELDON ST
PRESCOTT, AZ 86301-3114
Phone number: 928-776-1936
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Mailing Address
Dr. JARRED SCOTT BOGARDUS Pharm. D.
5700 MARKET ST
PRESCOTT VALLEY, AZ 86314-6512
Phone number:
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