Individual
TERRELL LANE BOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1811 W GOVERNMENT ST, BRANDON, MS 39042-2414
(601) 825-3773
(601) 591-4408
Mailing address
1811 W GOVERNMENT ST, BRANDON, MS 39042-2414
(601) 825-3773
(601) 591-4408
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-010540
MS
Other
Enumeration date
01/13/2020
Last updated
03/13/2020
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