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Contact Information

RICHARD E BOECKMANN, P.D.
411 FALLS BLVD S
WYNNE, AR72396-3501
 Phone: 870-238-8511
 Fax: 870-238-2135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for RICHARD E BOECKMANN · (Male)

NPI Number 1184625402
Status Active
Credentials P.D.
Entity Individual
Enumeration date 08/09/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 6609
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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