Individual
EMILY C. BOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCACP, CPP
Contact information
Practice address
1307 AVON ST, FAYETTEVILLE, NC 28304-4423
(910) 323-1718
Mailing address
1307 AVON ST, FAYETTEVILLE, NC 28304-4423
(910) 323-1718
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
29932
NC
Other
Enumeration date
09/02/2020
Last updated
10/21/2024
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