Individual
MR. ALBERT ELLWSORTH BOSWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4201 MEADOWDALE BLVD, NORTH CHESTERFIELD, VA 23234-5465
(804) 271-8100
Mailing address
7714 CENTERBROOK CT, CHESTERFIELD, VA 23832-9223
(804) 370-9060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009035
VA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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