Andrea Nicole Bouldin

NPI #1902422538 in Rossford, Ohio

Provider Information

NPI Number
1902422538
Entity Type
Individual
Name
Andrea Nicole Bouldin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jun 19, 2020
Last Updated
Jun 19, 2020

Practice Location

Address
801 DIXIE HWY
State
Ohio
ZIP Code
43460-1330
Phone
(419) 666-1583

Specialties & Taxonomy Codes

Specialty
Pharmacist

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