Jacie Boe, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Devils Lake, ND
NPI 1497328322 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1497328322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- RPH6317 (ND)
- Practice address
- 425 College Dr S Ste 10
Devils Lake, ND 58301-3537 - Phone
- (701) 662-6207
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH6317 | ND | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH6317 | ND | Yes |
Addresses
Primary practice location
425 College Dr S Ste 10
Devils Lake, ND 58301-3537
Mailing address
425 College Dr S Ste 10
Devils Lake, ND 58301-3537
Other providers in Devils Lake, ND
- Bio-Medical Applications of Minnesota Inc
- Heidi M Bittner
- Carla Ernestina Bjornson
- Maryjane Blanchfield
- Blooming Prairie Assessment & Therapy Center P.C.
- Erinpatricia Flaherty Bommersbach
- Abby Kathryn Borchardt
- Samantha Bounds
- Patricia J Bradley
- Shera Jean Brandvold
All providers in Devils Lake, ND · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. 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.