Individual
DONYELLE BOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
52360
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30011689
PHARMACY LICENCE
NC
Enumeration date
10/17/2018
Last updated
10/17/2018
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