Golly, Lance M

Golly, Lance M is an individual health care provider with primary practice located at 3245 Agency St , Burlington IA 52601-1993. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Golly, Lance M can be contacted via phone (319) 758-9991.

Contact Information

Primary practice address
3245 Agency St Burlington IA 52601-1993
Phone: (319) 758-9991
Fax: (319) 758-9989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 17685 Iowa

Profile Details

NPI number 1134465701
LBN Legal business name Golly, Lance M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2012
Last updated Dec 29th, 2012 - about 12 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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