MAXIE D BOLDEN

SOUTH BEND, IN
NPI1396952412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26014697A)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
Mr. MAXIE D BOLDEN rph
714 N MICHIGAN ST
SOUTH BEND, IN 46601-1035
Phone number: 574-647-7176
Mailing Address
Mr. MAXIE D BOLDEN rph
714 N MICHIGAN ST
SOUTH BEND, IN 46601-1035
Phone number: 574-647-7176
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