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1821711508
BOLAM SO
LOS ANGELES, CA
NPI
1821711508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH85714)
Enumeration Date
2022-09-19
Last Update Date
2023-04-28
Business Address
BOLAM SO
2223 FEDERAL AVE
LOS ANGELES, CA 90064-1403
Phone number: 253-355-6181
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Mailing Address
BOLAM SO
2223 FEDERAL AVE
LOS ANGELES, CA 90064-1403
Phone number: 253-355-6181
Copy
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