Grant D Boatright, P.D
Pharmacist in Lafayette, LA. Individual provider (NPI-1).
NPI number1760675508
StatusActive
Last updated in NPPESAug 24, 2007
Details
- NPI
- 1760675508
- Entity type
- Individual (NPI-1)
- Name
- Mr. Grant D Boatright
- Credential
- P.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2007
- Last updated
- Aug 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 15389 | LA | Yes |
Practice location
2390 W Congress StLafayette, LA 70506-4205
Phone 337-261-6238 · Fax 337-261-6363
Mailing address
2390 W Congress StLafayette, LA 70506-4205
Phone 337-261-6238 · Fax 337-261-6363
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