Provider Demographics
NPI:1093519514
Name:BOYT PHARMACEUTICAL SERVICES,LLC.
Entity type:Organization
Organization Name:BOYT PHARMACEUTICAL SERVICES,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPIC
Authorized Official - Prefix:
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARGOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-548-2125
Mailing Address - Street 1:411 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1836
Mailing Address - Country:US
Mailing Address - Phone:732-548-2125
Mailing Address - Fax:
Practice Address - Street 1:411 MAIN ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1836
Practice Address - Country:US
Practice Address - Phone:732-548-2125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy