Provider Demographics
NPI:1518253707
Name:BOYD, AMY (RPH)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 PLEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOOKSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15050-1511
Mailing Address - Country:US
Mailing Address - Phone:724-573-1311
Mailing Address - Fax:
Practice Address - Street 1:87 WAGNER RD
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-2421
Practice Address - Country:US
Practice Address - Phone:724-728-7259
Practice Address - Fax:724-728-7259
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-26
Last Update Date:2011-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038195L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist