Provider Demographics
NPI:1053193284
Name:BOICE, DANIEL HENRY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:HENRY
Last Name:BOICE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6255 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-5834
Mailing Address - Country:US
Mailing Address - Phone:520-298-7094
Mailing Address - Fax:520-886-9816
Practice Address - Street 1:6255 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5834
Practice Address - Country:US
Practice Address - Phone:520-298-7094
Practice Address - Fax:520-886-9816
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS026748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist