Doctor Name: | MR. JOSEPH P BOYLE |
NPI Number: | 1124259692 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH |
License Number: | 03-1-10258 |
Business Practice Address: | 221 W Main St Montpelier, OH - 435431015 |
Business Phone Number: | 4194855115 |
Business Fax Number: | |
Mailing Address: | 17690 Woodburn Ave, GRAND RAPIDS |
State: | OH |
Postal Code: | 435229745 |
Phone Number: | 4198321202 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2009 |
NPI Last Update Date: | 08/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 03-1-10258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |