Individual
MRS. CHRISTY BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4079 AUGUSTA HWY STE A, GILBERT, SC 29054-8322
(803) 892-5426
Mailing address
4079 AUGUSTA HWY STE A, GILBERT, SC 29054-8322
(803) 892-5426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9292
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4224793
PHARMACY NCPDP
SC
Enumeration date
07/28/2014
Last updated
07/28/2014
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