Healthcare Provider Details

I. General information

NPI: 1811249865
Provider Name (Legal Business Name): SALFITI BOYD PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 W ROCK ISLAND AVE
BOYD TX
76023-3103
US

IV. Provider business mailing address

417 W ROCK ISLAND AVE
BOYD TX
76023-3103
US

V. Phone/Fax

Practice location:
  • Phone: 940-433-8056
  • Fax:
Mailing address:
  • Phone: 940-433-8056
  • Fax: 940-433-8059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28261
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number28261
License Number StateTX

VIII. Authorized Official

Name: RAJA SALFITI
Title or Position: MANAGING PARTNER
Credential:
Phone: 817-532-6112