Kelly M Bolesta PHARM.D.

NPI 1083684799 - Pharmacist - 1835P1200X

NPI Details
NPI 1083684799
Gender Female
Enumeration Date 01/25/2006
Last Updated 08/25/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
100 N ACADEMY AVE
SYSTEM THERAPEUTICS
DANVILLE PA, 17822-9800, US
Phone (570) 271-6633
Fax (570) 271-7278
Business Location
3 KAITLYN LANE
BLOOMSBURG PA, 17815, US
Phone (570) 380-2528
Fax (570) 271-7278
Toxanomy
Taxonomy Code 1835P1200X
License State Pennsylvania
License Number RP438081
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According to our database, Dr. Kelly M Bolesta PHARM.D. NPI is 1083684799, taxonomy code is 1835P1200X and license number is RP438081, license state is located at Pennsylvania. Kelly M Bolesta PHARM.D. physically located at 100 N Academy Ave, Danville PA, 17822-9800. NPI Number Kelly M Bolesta PHARM.D. has the Individual type.

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1083684799 NPI number is provided on an as is basis without warranty of any kind. 1083684799 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly M Bolesta PHARM.D. are for informational purposes only.