Individual provider · Type 1 NPI
Carl Vonbodungen
Pharmacist · Gulfport, MS
Practice location
11179 Highway 49
Gulfport, MS 39503
Mailing address
3609 Lake Providence Dr
Harvey, LA 70058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | T-010311 (MS) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1033409404
Carl Vonbodungen's National Provider Identifier is 1033409404, issued on Apr 19, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Gulfport, MS. The record was last updated on Apr 19, 2011.