Individual
BARBARA ANN BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
705 S FREMONT ST, SHENANDOAH, IA 51601-1570
(712) 246-4033
(712) 246-1101
Mailing address
705 S FREMONT ST, SHENANDOAH, IA 51601-1570
(712) 246-4033
(712) 246-1101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19888
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19888
INDIVIDUAL PHARMACIST LICENSE
IA
Enumeration date
03/24/2020
Last updated
03/24/2020
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