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MELODY THOMPSON BOLTON R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1710028865

Individual Registrant:
 MELODY THOMPSON BOLTON R.PH.
Gender: F
Sole Proprietor

Location and contact information for practice:
5809 HIGHWAY 189 N  BAKER, FL 32531-2501 US
Tel: 850-537-6266  Fax: 850-537-6350

Contact information for business:
795 MELTON RD  BAKER, FL 32531-5323 US
Tel: 850-537-4259  Fax: 850-537-4258

Registration Information:
NPI: 1710028865
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS27821

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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