Individual
MR. JOSEPH BOSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1428 CRESCENT AVE, LOCKPORT, LA 70374
(985) 532-2545
(985) 532-5567
Mailing address
1428 CRESCENT AVE, LOCKPORT, LA 70374
(985) 532-2545
(985) 532-5567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.009532
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.009532
STATE LICENSE
LA
Enumeration date
05/12/2014
Last updated
05/12/2014
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