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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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