Provider Demographics
NPI:1679557607
Name:BOESEN, KEVIN P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:P
Last Name:BOESEN
Suffix:
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:1421 W TARANTULA RANCH PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1856
Mailing Address - Country:US
Mailing Address - Phone:520-626-3981
Mailing Address - Fax:520-626-7355
Practice Address - Street 1:THE UNIVERSITY OF ARIZONA COLLEGE OF PHARMACY
Practice Address - Street 2:1703 E MABEL
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0001
Practice Address - Country:US
Practice Address - Phone:520-626-3981
Practice Address - Fax:520-626-7355
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ14467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist