Individual
MR. BRIAN DALE DOLENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 PUBLIC RD., YORKVILLE, OH 43971-1248
(740) 859-2449
Mailing address
400 PUBLIC RD, YORKVILLE, OH 43971-1248
(740) 859-2449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03223160
OH
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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