Healthcare Provider Details

I. General information

NPI: 1750380309
Provider Name (Legal Business Name): CLARENCE DEWAYNE BOYD RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/16/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 7TH AVE S
BIRMINGHAM AL
35233-3406
US

IV. Provider business mailing address

8816 DEERBROOK CIR
GARDENDALE AL
35071-3237
US

V. Phone/Fax

Practice location:
  • Phone: 205-297-0075
  • Fax: 205-297-0074
Mailing address:
  • Phone: 205-647-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12389
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number12389
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: