Individual
MR. RANDY B BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7107 CHARLESTON HWY, BOWMAN, SC 29018
(803) 829-2547
(803) 829-2548
Mailing address
PO BOX 398, BOWMAN, SC 29018-0398
(803) 829-2547
(803) 829-2548
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
10120
SC
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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