Provider Demographics
NPI:1770965162
Name:BOYKINS, AHMAD (PHARMD)
Entity type:Individual
Prefix:
First Name:AHMAD
Middle Name:
Last Name:BOYKINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:AHMAD
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3270 FREY PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2717
Mailing Address - Country:US
Mailing Address - Phone:504-621-8945
Mailing Address - Fax:
Practice Address - Street 1:3270 FREY PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-2717
Practice Address - Country:US
Practice Address - Phone:504-621-8945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST020776183500000X
TX53433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist