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Dahniem Bozarth

Pharmacist in Port Jervis, NY. Individual provider (NPI-1).

NPI number1679976583
StatusActive
Last updated in NPPESOct 6, 2014

Details

NPI
1679976583
Entity type
Individual (NPI-1)
Name
Dahniem Bozarth
Sex
Male
Sole proprietor
No
Enumeration date
Oct 6, 2014
Last updated
Oct 6, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist059769NYYes

Practice location

10 Schultz St
Port Jervis, NY 12771-1343

Phone 845-820-3462

Mailing address

10 Schultz St
Port Jervis, NY 12771-1343

Phone 845-820-3462

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