Kenneth Mark Bodenhagen PHARM D

NPI 1013983105 - Pharmacist - 183500000X

NPI Details
NPI 1013983105
Gender Male
Enumeration Date 02/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
225 N WEBER RD
BOLINGBROOK IL, 60490-1505, US
Phone (630) 679-6533
Fax (630) 679-6565
Business Location
13963 S TRAILS END DR
HOMER GLEN IL, 60491-8643, US
Phone (708) 645-1678
Fax (630) 679-6565
Toxanomy
Taxonomy Code 183500000X
License State
License Number
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According to our database, Dr. Kenneth Mark Bodenhagen PHARM D NPI is 1013983105, taxonomy code is 183500000X Kenneth Mark Bodenhagen PHARM D physically located at 225 N Weber Rd, Bolingbrook IL, 60490-1505. NPI Number Kenneth Mark Bodenhagen PHARM D has the Individual type.

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1013983105 NPI number is provided on an as is basis without warranty of any kind. 1013983105 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Mark Bodenhagen PHARM D are for informational purposes only.