Whitney Monique Boston, PHARMD

Individual provider Active NPI Pharmacist · North Augusta, SC

NPI 1821346792 · NPPES record last updated Aug 26, 2012

Key facts

NPI
1821346792
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
13832 (SC)
Practice address
101 Edgefield Rd
North Augusta, SC 29841-2423
Phone
(803) 279-7470
Fax
(803) 279-4791
NPI assigned
Aug 26, 2012
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

LicenseStateTypeSpecialty
13832SCMDOrthopaedic Surgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13832 SC Yes

Addresses

Primary practice location

101 Edgefield Rd
North Augusta, SC 29841-2423

Mailing address

101 Edgefield Rd
North Augusta, SC 29841-2423
Phone (803) 279-7470

Other providers in North Augusta, SC

All providers in North Augusta, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.