Individual
HOWARD BOSELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
899 HWY 171 NORTH, LAKE CHARLES, LA 70611
(337) 855-4031
(337) 855-4034
Mailing address
899 HWY 171 NORTH, LAKE CHARLES, LA 70611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12061
LA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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