MEDICARE: AHMAD BOYKINS 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	PST020776	LA
2	183500000X	Pharmacist	53433	TX

General Provider Information

NPI Number	:	1770965162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD BOYKINS PHARMD.

Provider Business Mailing Address
First Line	:	3270 FREY PL
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-2717
Country	:	US
Telephone Number	:	504-621-8945
Fax Number	:

Provider Business Practice Location Address
First Line	:	3270 FREY PL
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-2717
Country	:	US
Telephone Number	:	504-621-8945
Fax Number	:

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

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	06/23/2015

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Directions to “ AHMAD BOYKINS PHARMD.” Practice Location

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