Individual provider · Type 1 NPI

Antwon Boston, PharmD

Military Health Care Provider · Fort Polk, LA

NPI number 1295321669 Active

Practice location

1585 3rd St Bldg 285
Fort Polk, LA 71459-5102

Call (337) 531-8090 Map

Mailing address

5965 Harrell St Apt B
Fort Polk, LA 71459-3698

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XPHCY-04573 (NH)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

21 other providers at this address

Other military health care provider providers in Fort Polk

See all in Fort Polk →

About NPI 1295321669

Antwon Boston, PharmD's National Provider Identifier is 1295321669, issued on Dec 18, 2020. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Polk, LA. The record was last updated on Dec 18, 2020.