Individual
DR. JACOB WREN BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2750 LA-28, PINEVILLE, LA, PINEVILLE, LA 71360
(318) 229-4185
Mailing address
5445 PROVINE PL APT 1307, ALEXANDRIA, LA 71303-5818
(318) 372-1787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025488
LA
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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