Organization
BOLLING APOTHECARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK BOILLING (OWNER)
(205) 932-8969
Entity
Organization
Contact information
Practice address
106 16TH ST NE, FAYETTE, AL 35555-1340
(205) 932-8969
(205) 932-8095
Mailing address
106 16TH ST NE, FAYETTE, AL 35555-1340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
101665
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001717
—
AL
01
—
0116207
OTHER ID NUMBER
—
Enumeration date
09/16/2006
Last updated
08/31/2007
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