Donald Ray Boone
Individual provider Active NPI Pharmacist · Boyce, LA
NPI 1245366269 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245366269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10751 (LA)
- Practice address
- 511 Ulster St
Boyce, LA 71409 - Phone
- (318) 793-2400
- Fax
- (318) 793-9100
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10751 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10751 | LA | Yes |
Addresses
Primary practice location
511 Ulster St
Boyce, LA 71409
Mailing address
511 Ulster St
Boyce, LA 71409
Phone (318) 793-2400
Other providers in Boyce, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.