Destiny Boutain, PHARMD Valid NPI

Individual provider · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Baytown, TX

NPI

1366199630

Type

Individual (Type 1)

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Pharmacist)

Specialty group

Pharmacy Service Providers

Taxonomy code

1835P0018X

License number

66810 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2022-03-07

Last updated

2022-03-07