MEDICARE: LYNN BOYD PHARM.D.

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	RPH015693	GA

General Provider Information

NPI Number	:	1285929166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN BOYD PHARM.D.

Provider Business Mailing Address
First Line	:	567 OWL CREEK DR
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-6287
Country	:	US
Telephone Number	:	770-420-6546
Fax Number	:

Provider Business Practice Location Address
First Line	:	2535 DALLAS HWY SW
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-2661
Country	:	US
Telephone Number	:	770-427-4136
Fax Number	:	770-427-4136

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

Provider Enumeration Date	:	06/18/2011
Last Update Date	:	06/18/2011

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