Patrick L Boggs
Individual provider Active NPI Pharmacist · Plain Dealing, LA
NPI 1376852145 · NPPES record last updated Sep 28, 2010
Key facts
- NPI
- 1376852145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11960 (LA)
- Practice address
- 302 East Palmetto Street
Plain Dealing, LA 71064-0188 - Phone
- (318) 326-4229
- Fax
- (318) 326-5903
- NPI assigned
- Sep 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 11960 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Pharmacy Inc Kelly Pharmacy & Gifts | Current | Accepting new patients |
Locations
302 E Palmetto Ave
Plain Dealing, LA 71064
Phone (318) 326-4229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11960 | LA | Yes |
Addresses
Primary practice location
302 East Palmetto Street
Plain Dealing, LA 71064-0188
Mailing address
PO Box 188
Plain Dealing, LA 71064
Phone (318) 326-4229
Other providers in Plain Dealing, LA
- Marmekia Akins
- Bossier Sherriff'S Correctional Facility Pharmacy
- Annette Brittentine
- Stephanie Fenae Brown
- CJ Reynolds Pharmacy Group LLC
- Patricia Dietrich
All providers in Plain Dealing, LA · Pharmacist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2010. 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.