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DR. BRENT WAYNE BOLLWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(186) 658-0181
Mailing address
7045 S HARRISON HILLS DR, #301, LA VISTA, NE 68128-7709

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13447
NE

Other

Enumeration date
11/07/2011
Last updated
11/07/2011
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