Individual
JENNIFER CATHERINE BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
932 CALDWELL BLVD, NAMPA, ID 83651-1711
(208) 318-0018
(208) 318-0032
Mailing address
10438 FALLOW FIELD ST, NAMPA, ID 83687-5156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6238
ID
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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