John D Bodtker PHARMD

NPI 1619234440 - Pharmacist - 1835P0018X

NPI Details
NPI 1619234440
Gender Male
Enumeration Date 04/18/2012
Last Updated 04/18/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
4023 PLATEAU CIR
CAMERON PARK CA, 95682-8160, US
Phone (530) 672-2692
Fax
Business Location
4023 PLATEAU CIR
CAMERON PARK CA, 95682-8160, US
Phone (530) 672-2692
Fax
Toxanomy
Taxonomy Code 1835P0018X
License State California
License Number 62197
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According to our database, Dr. John D Bodtker PHARMD NPI is 1619234440, taxonomy code is 1835P0018X and license number is 62197, license state is located at California. John D Bodtker PHARMD physically located at 4023 Plateau Cir, Cameron Park CA, 95682-8160. NPI Number John D Bodtker PHARMD has the Individual type.

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1619234440 NPI number is provided on an as is basis without warranty of any kind. 1619234440 is maintained by the National Plan & Provider Enumeration System. The contents of John D Bodtker PHARMD are for informational purposes only.