Provider Demographics
NPI:1700085990
Name:BOYKIN, STEPHEN PLITT (R RH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:PLITT
Last Name:BOYKIN
Suffix:
Gender:M
Credentials:R RH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 SYLVIA CT
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-0677
Mailing Address - Country:US
Mailing Address - Phone:304-264-4441
Mailing Address - Fax:
Practice Address - Street 1:97 SYLVIA CT
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-0677
Practice Address - Country:US
Practice Address - Phone:304-264-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2008-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007079183500000X
MD07774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist