Provider Demographics
NPI:1063011427
Name:BOGGAN, BARBARA KLINEFELTER (PHARM D)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:KLINEFELTER
Last Name:BOGGAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 MILL RACE RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1326
Mailing Address - Country:US
Mailing Address - Phone:717-514-4899
Mailing Address - Fax:
Practice Address - Street 1:5125 JONESTOWN RD STE 221
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-4929
Practice Address - Country:US
Practice Address - Phone:717-412-2052
Practice Address - Fax:717-412-2071
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-18
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist