Provider Demographics
NPI:1679886063
Name:BOYD-LOTT, EUNICE CHARLOTTE (BS)
Entity Type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:CHARLOTTE
Last Name:BOYD-LOTT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7269 WILEY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-3432
Mailing Address - Country:US
Mailing Address - Phone:713-635-8284
Mailing Address - Fax:
Practice Address - Street 1:4841 MOUNT HOUSTON RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-1632
Practice Address - Country:US
Practice Address - Phone:281-442-6392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist