MEDICARE: PATRICIA EILEEN BOONE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP00007836	NM
2	183500000X	Pharmacist	48786	TX

General Provider Information

NPI Number	:	1144939026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA EILEEN BOONE PHARMD

Provider Business Mailing Address
First Line	:	801 LIVE OAK DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79932-2507
Country	:	US
Telephone Number	:	915-203-1325
Fax Number	:

Provider Business Practice Location Address
First Line	:	817 LIVE OAK DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79932-2507
Country	:	US
Telephone Number	:	915-203-1325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	11/18/2022

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Directions to “ PATRICIA EILEEN BOONE PHARMD” Practice Location

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