Provider Demographics
NPI:1043765092
Name:BOYKIN MCCOY, AMANDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:BOYKIN MCCOY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:BOYKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:145 GATHERING PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6157
Mailing Address - Country:US
Mailing Address - Phone:984-974-6530
Mailing Address - Fax:866-477-1421
Practice Address - Street 1:1025 THINK PLACE
Practice Address - Street 2:4TH FLOOR SUITE 460
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560
Practice Address - Country:US
Practice Address - Phone:984-974-6530
Practice Address - Fax:866-477-1421
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25316183500000X
KY017922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist