Provider Demographics
NPI:1487261962
Name:BOYERS, JAMES ALLAN (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLAN
Last Name:BOYERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 TRESARA DR
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-8837
Mailing Address - Country:US
Mailing Address - Phone:304-363-4701
Mailing Address - Fax:
Practice Address - Street 1:25 TRESARA DR
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-8837
Practice Address - Country:US
Practice Address - Phone:304-363-4701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0003254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist