Individual
RYAN MATTHEW BOLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCNP
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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