MR. Randy B Boland

NPI #1629152087 in Bowman, South Carolina

Provider Information

NPI Number: 1629152087
Entity Type: Individual
Name: MR. Randy B Boland
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacy Technician
Enumeration Date: Oct 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7107 CHARLESTON HWY
City: Bowman
State: South Carolina
ZIP Code: 29018
Phone: (803) 829-2547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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