Boulware, Melissa Diane
Boulware, Melissa Diane is an sole proprietor health care provider with primary practice located at 7800 Oakmont Blvd , Fort Worth TX 76132-4203. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Boulware, Melissa Diane can be contacted via phone (817) 346-0094.Contact Information
Primary practice address
7800 Oakmont Blvd
Fort Worth TX 76132-4203
Phone: (817) 346-0094
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Geriatric | 1835G0303X | 53402 | Texas |
Pharmacy Service Providers / Pharmacist | 183500000X | 53402 | Texas |
Profile Details
NPI number | 1215788955 |
---|---|
LBN Legal business name | Boulware, Melissa Diane |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 29th, 2024 |
Last updated | Mar 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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