Individual
CAMILLE DEVILLE BOYKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 GREEN BLVD, AURORA, IN 47001-1421
(812) 926-2144
Mailing address
PO BOX 205, DILLSBORO, IN 47018-0205
(812) 432-5684
(812) 432-5945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018400A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26018400A
PHARMACIST LICENSE
IN
Enumeration date
09/28/2006
Last updated
03/08/2023
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