Provider Demographics
NPI:1942585070
Name:CAMERON-BOYD, CHARLENE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:
Last Name:CAMERON-BOYD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1609
Mailing Address - Country:US
Mailing Address - Phone:781-340-5620
Mailing Address - Fax:781-331-9691
Practice Address - Street 1:969 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1609
Practice Address - Country:US
Practice Address - Phone:781-340-5620
Practice Address - Fax:781-331-9691
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH17890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist