Healthcare Provider Details

I. General information

NPI: 1053703660
Provider Name (Legal Business Name): CYNTHIA KAY BOGGESS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 YANKEE RD
LIBERTY TOWNSHIP OH
45044-9840
US

IV. Provider business mailing address

7300 YANKEE RD
LIBERTY TOWNSHIP OH
45044-9840
US

V. Phone/Fax

Practice location:
  • Phone: 513-342-3260
  • Fax: 513-342-3261
Mailing address:
  • Phone: 513-342-3260
  • Fax: 513-342-3261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03223704
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: