Individual
LUKE BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 PARKWAY, SEVIERVILLE, TN 37862-2845
(865) 429-6009
Mailing address
506 ROCKINGHAM DR, KNOXVILLE, TN 37909-2621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41025
TN
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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