Individual
BOLA SIDAROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
901 JOHN BARROW RD, LITTLE ROCK, AR 72205-6503
(717) 319-4033
(501) 604-8009
Mailing address
901 JOHN BARROW RD, LITTLE ROCK, AR 72205-6503
(717) 319-4033
(501) 604-8009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72008
CA
Other
Enumeration date
04/08/2016
Last updated
01/05/2023
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