Individual
RYAN MATTHEW BOLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCNP
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-3351
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
Taxonomy
Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
015263
KY
1835N0905X
Nuclear Pharmacist
Primary
03230103
OH
Other
Enumeration date
08/30/2013
Last updated
01/03/2015
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