Individual
CASEY BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1911 N BROADWAY ST, PITTSBURG, KS 66762-2811
(620) 231-1486
Mailing address
201 JOHNS CT, FRONTENAC, KS 66763-2133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15317
KS
183500000X
Pharmacist
2011026607
MO
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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