Provider Demographics
NPI:1730458597
Name:SCOTT, SAMARLOS BOYKIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SAMARLOS
Middle Name:BOYKIN
Last Name:SCOTT
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 1:4522 SAINT STEPHENS ROAD
Mailing Address - Street 2:
Mailing Address - City:PRICHARD
Mailing Address - State:AL
Mailing Address - Zip Code:36613
Mailing Address - Country:US
Mailing Address - Phone:251-330-1631
Mailing Address - Fax:251-330-1637
Practice Address - Street 1:4522 SAINT STEPHENS ROAD
Practice Address - Street 2:
Practice Address - City:PRICHARD
Practice Address - State:AL
Practice Address - Zip Code:36613-3509
Practice Address - Country:US
Practice Address - Phone:251-330-1631
Practice Address - Fax:251-330-1637
Is Sole Proprietor?:No
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist