Stacey, Dustin Boyd

Stacey, Dustin Boyd is an sole proprietor health care provider with primary practice located at 72 S 1St E , Rexburg ID 83440-1953. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stacey, Dustin Boyd can be contacted via phone (208) 372-8300.

Contact Information

Primary practice address
72 S 1St E Rexburg ID 83440-1953
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0021794 Colorado

Profile Details

NPI number 1073028957
LBN Legal business name Stacey, Dustin Boyd
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2017
Last updated Apr 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers