Jessica Lynn Bogucki Valid NPI
Individual provider · Pharmacist · Northport, AL
- NPI
- 1225637929
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 15563 (AL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-10-22
- Last updated
- 2020-10-22
Practice location
5324 Bristolwood Cir
Northport, AL 35475-5938
(205) 792-7494