Bolton, Dana
Bolton, Dana is an individual health care provider with primary practice located at 6660 Fourth Section Rd , Brockport NY 14420-2448. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bolton, Dana can be contacted via phone (585) 637-6855.Contact Information
Primary practice address
6660 Fourth Section Rd
Brockport NY 14420-2448
Phone: (585) 637-6855
Fax: (585) 637-7848
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 048260 | New York |
Profile Details
NPI number | 1194048694 |
---|---|
LBN Legal business name | Bolton, Dana |
Credentials | RPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 11th, 2010 |
Last updated | Mar 11th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194048694 | NPPES |
New York | Other | 048260 | PHARMACIST LICENSE # |
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