Provider Demographics
NPI:1326313628
Name:BOYD, CASSIE MOSS (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CASSIE
Middle Name:MOSS
Last Name:BOYD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7017 WYNLAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7566
Mailing Address - Country:US
Mailing Address - Phone:334-332-3342
Mailing Address - Fax:
Practice Address - Street 1:101 S UNION ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36130-3022
Practice Address - Country:US
Practice Address - Phone:334-263-8469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL167471835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist