Individual
DR. ANGELA BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
27371 S 4410 RD, VINITA, OK 74301-7953
(918) 256-4800
Mailing address
PO BOX 58, WELCH, OK 74369-0058
(918) 530-1409
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
17972
OK
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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