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BOLIS BATOU RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1164743266

Individual Registrant:
 BOLIS  BATOU RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
2647 FOOTHILL BLVD  LA CRESCENTA, CA 91214-3511 US
Tel: 818-248-1016  Fax: 818-248-0023

Contact information for business:
2647 FOOTHILL BLVD  LA CRESCENTA, CA 91214-3511 US
Tel: 818-248-1016  Fax: 818-248-0023

Registration Information:
NPI: 1164743266
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA46884

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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