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Individual

BRYAN BOLEYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
11503 CHAPMAN HWY, SEYMOUR, TN 37865-5045
(865) 579-4728
(865) 579-4567
Mailing address
11503 CHAPMAN HWY, SEYMOUR, TN 37865-5045
(865) 579-4728
(865) 579-4567

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11050
KY
183500000X
Pharmacist
38753
TN

Other

Enumeration date
07/22/2013
Last updated
01/26/2021
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