Provider Demographics
NPI:1881918969
Name:BOYD, JOHN M (RPH PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:BOYD
Suffix:
Gender:M
Credentials:RPH PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2413 PENNSYLVANIA AVE ANILE PHARMACY
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062
Mailing Address - Country:US
Mailing Address - Phone:304-723-1818
Mailing Address - Fax:304-723-5596
Practice Address - Street 1:2413 PENNSYLVANIA AVE ANILE PHARMACY
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062
Practice Address - Country:US
Practice Address - Phone:304-723-1818
Practice Address - Fax:304-723-5596
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03119120183500000X
KY009705183500000X
WVRP0004779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist