Boler, Terrell Lane

Boler, Terrell Lane is an individual health care provider with primary practice located at 1811 W Government St , Brandon MS 39042-2414. 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. Boler, Terrell Lane can be contacted via phone (601) 825-3773.

Contact Information

Primary practice address
1811 W Government St Brandon MS 39042-2414
Phone: (601) 825-3773
Fax: (601) 591-4408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X E-010540 Mississippi

Profile Details

NPI number 1366082893
LBN Legal business name Boler, Terrell Lane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2020
Last updated Mar 13th, 2020 - about 4 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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