Terri L Bullard, PHARMD
Individual provider Active NPI Pharmacist · Boyd, TX
NPI 1780157784 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1780157784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 61547 (TX)
- Practice address
- 417 W Rock Island Ave
Boyd, TX 76023-3103 - Phone
- (940) 433-8056
- NPI assigned
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61547 | TX | MD | Pharmacist |
| 4746132-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salfiti Boyd Pharmacy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 4746132-1701 | UT | |
| Pharmacist | 183500000X | 61547 | TX | Yes |
Addresses
Primary practice location
417 W Rock Island Ave
Boyd, TX 76023-3103
Mailing address
622 County Road 4797
Boyd, TX 76023-5632
Phone (801) 230-4375
Other providers in Boyd, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.