ANTWON BOSTON

FORT POLK, ZZ
NPI1295321669
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: NH  PHCY-04573)
Enumeration Date2020-12-18
Last Update Date2020-12-18
Business Address
Dr. ANTWON BOSTON PharmD
1585 3RD ST BLDG 285
FORT POLK, ZZ
Phone number: 337-531-8090
Mailing Address
Dr. ANTWON BOSTON PharmD
5965 HARRELL ST APT B
FORT POLK, LA 71459-3698
Phone number: 707-898-0182