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Organization

BOONE'S PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD RAY BOONE DOCTOR OF PHARMACY (PHARMACIST OWNER)
(318) 793-2400
Entity
Organization

Contact information

Practice address
511 ULSTER STREET, BOYCE, LA 71409
(318) 793-2400
(318) 793-9100
Mailing address
PO BOX 791, 511 ULSTER STREET, BOYCE, LA 71409
(318) 793-2400
(318) 793-9100

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10751
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1262552
LA
Enumeration date
05/03/2007
Last updated
09/18/2007
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