MEDICARE: DR. ZACHARY DAVID BOYDA PHARMD

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	41991	SC

General Provider Information

NPI Number	:	1689236424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY DAVID BOYDA PHARMD

Provider Business Mailing Address
First Line	:	510 DEPOT ST APT 111
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2272
Country	:	US
Telephone Number	:	276-274-2029
Fax Number	:

Provider Business Practice Location Address
First Line	:	1002 SAMS CROSSING RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29229-9591
Country	:	US
Telephone Number	:	803-788-0535
Fax Number	:

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

Provider Enumeration Date	:	07/02/2019
Last Update Date	:	07/02/2019

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