Provider Demographics
NPI:1255972758
Name:BOYD, CYNTHIA KAY (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:KAY
Last Name:BOYD
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 BOSKEY DR
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-6901
Mailing Address - Country:US
Mailing Address - Phone:573-268-1152
Mailing Address - Fax:
Practice Address - Street 1:1500 1ST ST
Practice Address - Street 2:
Practice Address - City:KENNETT
Practice Address - State:MO
Practice Address - Zip Code:63857-2522
Practice Address - Country:US
Practice Address - Phone:573-888-4543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-05
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42628183500000X
ARPD14780183500000X
MO2005040943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist