Individual
ANDREA NICOLE BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 DIXIE HWY, ROSSFORD, OH 43460-1330
(419) 666-1583
Mailing address
801 DIXIE HWY, ROSSFORD, OH 43460-1330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439664
OH
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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