MICHAEL BOLAN

FORT WAINWRIGHT, AK
NPI1609379726
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OH  03236558)
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
MICHAEL BOLAN
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99709
Phone number: 907-361-5109
Mailing Address
MICHAEL BOLAN
3010 DAVIS RD APT B3
FAIRBANKS, AK 99709-5236
Phone number: 907-347-4612