Provider Demographics
NPI:1508373960
Name:BOYCE PHARMACY
Entity Type:Organization
Organization Name:BOYCE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD THIBAUT
Authorized Official - Middle Name:
Authorized Official - Last Name:DJAPNI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:337-255-4238
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:
Mailing Address - City:BOYCE
Mailing Address - State:LA
Mailing Address - Zip Code:71409-0011
Mailing Address - Country:US
Mailing Address - Phone:318-793-2400
Mailing Address - Fax:318-793-2100
Practice Address - Street 1:511 ULSTER AVE
Practice Address - Street 2:
Practice Address - City:BOYCE
Practice Address - State:LA
Practice Address - Zip Code:71409
Practice Address - Country:US
Practice Address - Phone:318-793-2400
Practice Address - Fax:318-793-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA75783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy