Jacobe Boston, PHARMD, RPH Valid NPI
Individual provider · Pharmacist · Shreveport, LA
- NPI
- 1760335103
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 025903 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2026-02-17
- Last updated
- 2026-02-17
Practice location
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
(318) 681-5435