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Organization

RANDY B BOLAND

Active
Other names
BOLAND PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN BOLAND RPH (RPH)
(803) 829-2547
Entity
Organization

Contact information

Practice address
7107 CHARLSTON HWY, BOWMAN, SC 29018-0398
(803) 829-2547
(803) 829-2548
Mailing address
PO BOX 398, BOWMAN, SC 29018-0398
(803) 829-2547
(803) 829-2548

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
2899
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2090144
PK
05
728997
SC
Enumeration date
11/08/2006
Last updated
03/20/2017
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