| NPI | 1013072206 |
|---|---|
| Doing Business As | BOLAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUDITH RICKENBACKER Pharm 843-462-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 428) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2017-02-21 |