MEDICARE: FADIA BOYER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	21451	NC
2	183500000X	Pharmacist	5107	WV

General Provider Information

NPI Number	:	1124311774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FADIA BOYER RPH

Provider Business Mailing Address
First Line	:	104 NEW DEER LN
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27518-9771
Country	:	US
Telephone Number	:	919-803-7834
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 GRANDE HEIGHTS DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-3925
Country	:	US
Telephone Number	:	919-380-1607
Fax Number	:	919-469-4702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2011
Last Update Date	:	05/17/2011

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Directions to “ FADIA BOYER RPH” Practice Location

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