NPI 1376803031 · live from the CMS NPI Registry
Dustin Edward Boller, Pharm. D
Pharmacist in Bethel, AK. National Provider Identifier 1376803031, active.
NPI record
| NPI | 1376803031 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 700 Cheif Eddie Hoffman Highway, Bethel, AK 99559 |
| Practice phone | 907-543-6653 |
| Mailing address | Po Box 287, Bethel, AK 99559 |
| Enumerated | May 29, 2012 |
| Last updated | May 29, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 1984 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.