Provider Demographics
NPI:1285929166
Name:BOYD, LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:BOYD
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 1:567 OWL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-6287
Mailing Address - Country:US
Mailing Address - Phone:770-420-6546
Mailing Address - Fax:
Practice Address - Street 1:2535 DALLAS HWY SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-2661
Practice Address - Country:US
Practice Address - Phone:770-427-4136
Practice Address - Fax:770-427-4136
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-18
Last Update Date:2011-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH015693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist