Provider Demographics
NPI:1487154480
Name:BOYCE, ADELE PENLAND (RPH)
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:PENLAND
Last Name:BOYCE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 EMORY RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-2905
Mailing Address - Country:US
Mailing Address - Phone:864-583-8512
Mailing Address - Fax:
Practice Address - Street 1:104 EMORY RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-2905
Practice Address - Country:US
Practice Address - Phone:864-583-8512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist