Most Relevant Information
Provider Data
| NPI Number: | 1003229063 |
| Provider Name: | SONYA BREMER BOSS RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 15762 |
Most Important Dates
| Enumeration Date: | 06/07/2014 |
| Last Updated: | 06/12/2014 |
Provider Practice Location
3239 RIVERWALK DR
BATON ROUGE
LA
708204342
Practice Location Phone/Fax
| Phone: | 2252811475 |
| Fax: | 2255787163 |
Provider Mailing Location
3239 RIVERWALK DR
BATON ROUGE
LA
708204342
Provider Mailing Phone/Fax
| Phone: | 2252811475 |
| Fax: | 2255787163 |