Individual
JENELLE LYNN BOLZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 CLEVELAND ST, ELYRIA, OH 44035-6138
(440) 322-7604
(440) 322-9035
Mailing address
11232 WORTHINGTON WAY, NORTH ROYALTON, OH 44133-2566
(440) 322-7604
(440) 322-9035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03328971
OH
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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