Individual provider · NPI-1

Dr. Heather Cay Bolstad, PharmD, RPh

Pharmacist · Mankato, MN

NPI number1063774834
StatusActive
Last updated in NPPESJan 25, 2021

Details

NPI
1063774834
Entity type
Individual (NPI-1)
Name
Dr. Heather Cay Bolstad
Credential
PharmD, RPh
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2012
Certification date
Jan 25, 2021
Last updated
Jan 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist117014MNYes

Practice location

1610 Monks Ave
Mankato, MN 56001-5173

Phone 507-625-1553

Mailing address

209 5th St Sw
Elysian, MN 56028-9618

Phone 507-327-9650

Other practice locations

150 Western Ave Nw
Faribault, MN 55021-4504

Phone 507-332-0084 · Fax 507-332-8572

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