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DR. ADAM BOLLENBACH PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1598111783

Individual Registrant:
DR. ADAM  BOLLENBACH PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
17821 SANTIAGO BLVD  VILLA PARK, CA 92861-4133 US
Tel: 714-998-3030  Fax: 714-998-6060

Contact information for business:
17821 SANTIAGO BLVD  VILLA PARK, CA 92861-4133 US
Tel: 714-998-3030  Fax: 714-998-6060

Registration Information:
NPI: 1598111783
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH53620

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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