Individual
DANIEL J BOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
335 MAIN ST, GREENVILLE, PA 16125-2614
(724) 588-3398
Mailing address
335 MAIN ST, GREENVILLE, PA 16125-2614
(724) 588-3398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03329108
OH
183500000X
Pharmacist
Primary
RP029400L
PA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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