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NPI Code Detail

MEDICARE: SHREYA BODAR

MEDICARE:   SHREYA  BODAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS44343FL

General Provider Information

NPI Number : 1275154031
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHREYA BODAR
Provider Business Mailing Address
First Line : 9573 COBBLESTONE CREEK DR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33472-4449
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9573 COBBLESTONE CREEK DR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33472-4449
Country : US
Telephone Number : 561-523-6906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2020
Last Update Date : 05/04/2020

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Directions to “ SHREYA BODAR ” Practice Location

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