Provider Demographics
NPI:1336439520
Name:BOSLET, ANDREA J (RPH)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:J
Last Name:BOSLET
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 INDIAN ROCKS RD S
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR BLUFFS
Mailing Address - State:FL
Mailing Address - Zip Code:33770-4018
Mailing Address - Country:US
Mailing Address - Phone:727-585-2095
Mailing Address - Fax:
Practice Address - Street 1:103 INDIAN ROCKS RD S
Practice Address - Street 2:
Practice Address - City:BELLEAIR BLUFFS
Practice Address - State:FL
Practice Address - Zip Code:33770-4018
Practice Address - Country:US
Practice Address - Phone:727-585-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-09
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS65227183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist