Dr. Mark D Boesen, Pharm.D.
Pharmacist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1154489136
StatusActive
Last updated in NPPESMay 10, 2008
Details
- NPI
- 1154489136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark D Boesen
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- May 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 10941 | AZ | Yes |
| 183500000X | Pharmacist | 202012069 | VA | |
| 183500000X | Pharmacist | PR4864 | ME | |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 17250 | NV | |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 17892 | CO | |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 19460 | NC |
Practice location
23620 N 20th DrSte 12
Phoenix, AZ 85085-0621
Phone 623-225-8772 · Fax 623-321-6694
Mailing address
23620 N 20th DrSte 12
Phoenix, AZ 85085-0621
Phone 623-225-8772 · Fax 623-321-6694
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