Isaac Bogonko
Pharmacist in Richardson, TX. Individual provider (NPI-1).
NPI number1457734865
StatusActive
Last updated in NPPESJul 2, 2015
Details
- NPI
- 1457734865
- Entity type
- Individual (NPI-1)
- Name
- Isaac Bogonko
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2015
- Last updated
- Jul 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 45643 | TX | Yes |
Practice location
1260 W Spring Valley Rd Ste BRichardson, TX 75080-6720
Phone 281-250-4134
Mailing address
7209 Northern Lights CtPlano, TX 75074-8990
Phone 281-250-4134
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