Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTWON BOSTON, PHARMD
ActiveDR. ANTWON BOSTON, PHARMD is a Military Health Care Provider healthcare provider located in FORT POLK, Louisiana. NPI 1295321669 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · FORT POLK, LA
Registration Details
- NPI Number
- 1295321669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2020 (5.6898644289263 yrs)
- Last Updated
- Dec 18, 2020
- License
-
PHCY-04573 (NH)
Practice Information
- Address
-
1585 3RD ST BLDG 285FORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 3375318090
- Primary Specialty
-
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.