Boggs Pharmacy

Organization Active NPI Community/Retail Pharmacy · Jenkins, KY

NPI 1093923740 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1093923740
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
P02547 (KY)
Legal business name
BOGGS PHARMACY
Practice address
9500 Highway 805
Jenkins, KY 41537-0747
Phone
(606) 832-2121
Fax
(606) 832-2118
NPI assigned
May 18, 2007
Organization subpart
No

Authorized official

Name
Mr. Wendell D Boggs, RPH
Title
Owner President
Phone
(606) 832-2121

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Boggs Pharmacy (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P02547 KY Yes

Addresses

Primary practice location

9500 Highway 805
Jenkins, KY 41537-0747

Mailing address

PO Box 747
Jenkins, KY 41537-0747
Phone (606) 832-2121

Other identifiers

IdentifierTypeStateIssuer
4554309700MedicaidKY

Other providers in Jenkins, KY

All providers in Jenkins, KY · Community/Retail Pharmacy in Kentucky

Sources for this page

Verify at the official NPI Registry.