LEONARD BOLOG

WASILLA, AK
NPI1891096517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AK  1705)
Enumeration Date2010-11-11
Last Update Date2010-11-11
Business Address
-- LEONARD BOLOG R.Ph.
595 E PARKS HWY # 300
WASILLA, AK 99654-8102
Phone number: 907-352-1160
Mailing Address
-- LEONARD BOLOG R.Ph.
595 E PARKS HWY # 300
WASILLA, AK 99654-8102
Phone number: 907-352-1160
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