Individual
MR. DAVID WAYNE BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8 MERCHANTS WAY, MIDDLEBORO, MA 02346-1818
(508) 923-2989
Mailing address
7 EVERETT ST, TAUNTON, MA 02780-4614
(508) 823-4577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20164
MA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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