Provider Demographics
NPI:1154374866
Name:BOYCE, SARAH E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:BOYCE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 BURDETTE DR SW APT 1023
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-2286
Mailing Address - Country:US
Mailing Address - Phone:608-576-2155
Mailing Address - Fax:
Practice Address - Street 1:811 5TH AVE SE
Practice Address - Street 2:REUTZEL PHARMACY
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-2421
Practice Address - Country:US
Practice Address - Phone:319-364-4181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20229183500000X
WI14505-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1014514Medicaid