Individual provider · NPI-1

Ryan Boyd

Pharmacy, Community/Retail Pharmacy · Livonia, MI

NPI number1659968519
StatusActive
Last updated in NPPESDec 28, 2020

Details

NPI
1659968519
Entity type
Individual (NPI-1)
Name
Ryan Boyd
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 28, 2020
Certification date
Dec 28, 2020
Last updated
Dec 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy5302413030MIYes

Practice location

17001 Newburgh Rd
Livonia, MI 48154-1610

Phone 734-462-1707

Mailing address

1080 Kronner Rd
Columbus, MI 48063-2200

Phone 810-305-2189

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