National Provider Identifier

Shaun Adam Boone

Shaun Adam Boone is listed in the NPPES registry with a primary specialty of Pharmacist in Cheektowaga, NY and a listed phone number of (716) 656-0173.

NPI 1255849113Cheektowaga, NYPharmacist

Profile Overview

NPI
1255849113
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
January 12, 2018
Last Updated
December 10, 2019

Practice Location

  • 1180 French RD
  • Cheektowaga, NY 14227-3706

Phone: (716) 656-0173

Mailing Address

  • 1328 Abbott RD
  • Buffalo, NY 14218-1910

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1255849113
Entity Type
Individual
Last Name
Boone
First Name
Shaun
Middle Name
Adam
Mailing Street Address
1328 Abbott RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14218-1910
Mailing Country
US
Practice Street Address
1180 French RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14227-3706
Practice Country
US
Practice Phone
(716) 656-0173
Practice Fax
(716) 656-0535
Enumeration Date
January 12, 2018
Last Updated
December 10, 2019
Sex
Male
Sole Proprietor
Yes
Certification Date
December 10, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)