Bolad INC
NPI #1730232133 in Libertyville, Illinois
Provider Information
- NPI Number
- 1730232133
- Entity Type
- Organization
- Organization Name
- Bolad INC
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 426 N MILWAUKEE AVE
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-2248
- Phone
- (847) 362-2005
Authorized Official
- Name
- BEAU S DIAB, RPH FACVP
- Title
- PRESIDENT
- Phone
- (847) 362-2005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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