Provider Demographics
NPI:1538467964
Name:BOYNTON, ROBERT PARKER (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:PARKER
Last Name:BOYNTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 W US HIGHWAY 64
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-2552
Mailing Address - Country:US
Mailing Address - Phone:336-867-6033
Mailing Address - Fax:336-867-6034
Practice Address - Street 1:90 W US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-2552
Practice Address - Country:US
Practice Address - Phone:336-867-6033
Practice Address - Fax:336-867-6034
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist