Larry Glenn Bolyard JR.
NPI #1265036214 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1265036214
- Entity Type
- Individual
- Name
- Larry Glenn Bolyard JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 30, 2020
- Last Updated
- Nov 30, 2020
Practice Location
- Address
- 12305 ASHTON MILL TER
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23059-5487
- Phone
- (804) 512-4590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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