Provider Demographics
NPI:1194435024
Name:BOYD, HOLLY M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:M
Last Name:BOYD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:HOLLY
Other - Middle Name:M
Other - Last Name:FRALIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:443 SANCTUARY PARK DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-2431
Mailing Address - Country:US
Mailing Address - Phone:843-509-4664
Mailing Address - Fax:
Practice Address - Street 1:443 SANCTUARY PARK DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-2431
Practice Address - Country:US
Practice Address - Phone:843-509-4664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist