Jacob Aaron Boan

Pharmacist · Clinton, MO

Individual Active NPI

NPI number 1205402856

Practice location

1712 E Ohio St
Clinton, MO 64735-2402
Phone
(660) 890-2587

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NPI record

NPI
1205402856
Entity type
Individual (Type 1)
Enumeration date
June 2, 2021
Last updated
June 2, 2021
Certified
June 2, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 2019034275 MO

Mailing address

902 Willow St
Clinton, MO 64735-3058

About Jacob Boan

Jacob Aaron Boan is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1712 E Ohio St, Clinton, MO 64735-2402. The NPI number 1205402856 was assigned on June 2, 2021 and the record was last updated on June 2, 2021.

Jacob Boan lists a license in the registry: #2019034275 (MO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Aaron Boan?

The NPI number is 1205402856.

What is the phone number of Jacob Boan?

The phone number listed for the practice location is (660) 890-2587.

Where is Jacob Boan located?

1712 E Ohio St, Clinton, MO 64735-2402.

What is the taxonomy code for Jacob Boan?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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