Individual
JAY BOYLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 329-0930
Mailing address
16913 AURORA ST, OMAHA, NE 68136-1634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12010
NE
Other
Enumeration date
11/22/2017
Last updated
12/17/2022
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