Dr. Nicholas Michael Boege, PharmD
Pharmacist in Green Bay, WI. Individual provider (NPI-1).
NPI number1164056602
StatusActive
Last updated in NPPESFeb 24, 2020
Details
- NPI
- 1164056602
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Michael Boege
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2020
- Certification date
- Feb 24, 2020
- Last updated
- Feb 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 19583-40 | WI | Yes |
Practice location
1995 Main StGreen Bay, WI 54302-3920
Phone 920-465-6210
Mailing address
1995 Main StGreen Bay, WI 54302-3920
Phone 920-465-6210
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