Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grayson Mackenzie Boala

Individual provider Pharmacist · NPI 1952023954

Grayson Mackenzie Boala is a Pharmacist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

5999 Normandy Blvd
Jacksonville, FL 32205-6265
Phone: (904) 751-4346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS63028 (FL)

Record details

NPI number1952023954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing address5999 Normandy Blvd, Jacksonville, FL 32205-6265

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