Provider Demographics
NPI:1891783585
Name:BOYD, ALAN FENNER (RPH)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:FENNER
Last Name:BOYD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HASTINGS SQUARE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3643
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DURHAM REGIONAL HOSPITAL
Practice Address - Street 2:3643 N. ROXBORO ROAD
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2763
Practice Address - Country:US
Practice Address - Phone:919-470-4168
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist