Provider Demographics
NPI:1194017202
Name:BOYCE, JENNIFER STEELE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:STEELE
Last Name:BOYCE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 MOUNT HOLLY HUNTERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-8644
Mailing Address - Country:US
Mailing Address - Phone:704-395-0572
Mailing Address - Fax:704-395-0623
Practice Address - Street 1:3540 MOUNT HOLLY HUNTERSVILLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-8644
Practice Address - Country:US
Practice Address - Phone:704-395-0572
Practice Address - Fax:704-395-0623
Is Sole Proprietor?:No
Enumeration Date:2011-05-07
Last Update Date:2011-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19831183500000X
SC12337183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist