Individual
LAUREN BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1705 S BROADWAY ST, MOORE, OK 73160-5355
(405) 300-6027
Mailing address
1705 S BROADWAY ST, MOORE, OK 73160-5355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16197
OK
Other
Enumeration date
08/12/2015
Last updated
12/13/2016
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