Individual
CONOR ROBERT BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9170 DANIELS PKWY, FORT MYERS, FL 33912-1815
(239) 561-5151
Mailing address
9170 DANIELS PKWY, FORT MYERS, FL 33912-1815
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PS61430
FL
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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