Individual
MARY CAROL BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515A LONGWOOD AVE, BEDFORD, VA 24523-2208
(540) 586-9770
Mailing address
1515A LONGWOOD AVE, BEDFORD, VA 24523-2208
(540) 586-9770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005225
VA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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