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Stacy M Bolton

Pharmacist in Columbus, GA. Individual provider (NPI-1).

NPI number1982208526
StatusActive
Last updated in NPPESNov 24, 2020

Details

NPI
1982208526
Entity type
Individual (NPI-1)
Name
Stacy M Bolton
Sex
Female
Sole proprietor
No
Enumeration date
Nov 24, 2020
Certification date
Nov 24, 2020
Last updated
Nov 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH022025GAYes

Practice location

7042 Moon Rd
Columbus, GA 31909-4969

Phone 706-653-2923

Mailing address

7042 Moon Rd
Columbus, GA 31909-4969

Phone 706-653-2923

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