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Individual

DR. ADAM BOLLENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
17821 SANTIAGO BLVD, VILLA PARK, CA 92861-4133
(714) 998-3030
(714) 998-6060
Mailing address
17821 SANTIAGO BLVD, VILLA PARK, CA 92861-4133
(714) 998-3030
(714) 998-6060

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH53620
CA

Other

Enumeration date
05/06/2016
Last updated
05/06/2016
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