Bolan, Michael

Bolan, Michael is an individual health care provider with primary practice located at 4076 Neely Road , Fort Wainwright AK 99709. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Bolan, Michael can be contacted via phone (907) 361-5109.

Contact Information

Primary practice address
4076 Neely Road Fort Wainwright AK 99709
Phone: (907) 361-5109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03236558 Ohio

Profile Details

NPI number 1609379726
LBN Legal business name Bolan, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2018
Last updated Mar 15th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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