Individual
BRANDON BOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4840 BORGEN BLVD NW, GIG HARBOR, WA 98332-6826
(253) 853-9340
Mailing address
3214 N 7TH ST, TACOMA, WA 98406-5906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60390061
WA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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