Individual
MRS. JULIE LYNN BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4241 STATE HWY 14 WEST, REA CLINIC PHARMACY, CHRISTOPHER, IL 62822
(618) 724-2136
(618) 724-1669
Mailing address
PO BOX 155, REA CLINIC, CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040223
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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