Individual
DR. PATRICK J BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
10700 PAGE AVE, SAINT LOUIS, MO 63132-1016
(314) 446-1804
Mailing address
10700 PAGE AVE, SAINT LOUIS, MO 63132-1016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012006912
MO
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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