Lauren Boswell, PHARM.D
Individual provider Active NPI Pharmacist · Moore, OK
NPI 1891161998 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1891161998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16197 (OK)
- Practice address
- 1705 S Broadway St
Moore, OK 73160-5355 - Phone
- (405) 300-6027
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 16197 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sams East Inc | Past | Accepting new patients | |
| Sams East Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16197 | OK | Yes |
Addresses
Primary practice location
1705 S Broadway St
Moore, OK 73160-5355
Mailing address
1705 S Broadway St
Moore, OK 73160-5355
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. 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.