Provider Demographics
NPI:1972880722
Name:BOYD, CLAYTON REECE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:REECE
Last Name:BOYD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CLAY
Other - Middle Name:REECE
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4100 BOSQUE BLVD
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-4815
Mailing Address - Country:US
Mailing Address - Phone:254-751-7215
Mailing Address - Fax:254-751-0812
Practice Address - Street 1:4100 BOSQUE BLVD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4815
Practice Address - Country:US
Practice Address - Phone:254-751-7215
Practice Address - Fax:254-751-0812
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist