Individual
DANA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6660 FOURTH SECTION RD, BROCKPORT, NY 14420-2448
(585) 637-6855
(585) 637-7848
Mailing address
6660 FOURTH SECTION RD, BROCKPORT, NY 14420-2448
(585) 637-6855
(585) 637-7848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048260
PHARMACIST LICENSE #
NY
Enumeration date
03/11/2010
Last updated
03/11/2010
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