Nathan Bolander

NPI #1669854931 in Shelley, Idaho

Provider Information

NPI Number
1669854931
Entity Type
Individual
Name
Nathan Bolander
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jun 23, 2015
Last Updated
Sep 26, 2016

Practice Location

Address
570 S STATE ST
State
Idaho
ZIP Code
83274-1470
Phone
(208) 357-0473

Specialties & Taxonomy Codes

Specialty
Pharmacist

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