Individual
BRIAN P. BOLINSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
23831 RANCH VIEW CT, RAPID CITY, SD 57702-7367
(701) 770-6721
Mailing address
23831 RANCH VIEW CT, RAPID CITY, SD 57702-7367
(701) 770-6721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4424
SD
183500000X
Pharmacist
RPH4475
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4424
STATE PHARMACY LICENSE
SD
01
—
RPH4475
STATE PHARMACY LICENSE
ND
Enumeration date
01/31/2007
Last updated
01/06/2016
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