Individual
DEBBIE A BOLTJES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
405 W INTERSTATE DR, LUVERNE, MN 56156-2266
(507) 283-2156
Mailing address
111 W 7TH AVE, ELLSWORTH, MN 56129-1072
(507) 967-2553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116017-2
MN
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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