Bolivar, Samantha Maria

Bolivar, Samantha Maria is an sole proprietor health care provider with primary practice located at 22 Marlboro St , Dedham MA 02026-1423. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bolivar, Samantha Maria can be contacted via phone (508) 821-6393.

Contact Information

Primary practice address
22 Marlboro St Dedham MA 02026-1423
Phone: (508) 821-6393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 236117 Massachusetts

Profile Details

NPI number 1073988697
LBN Legal business name Bolivar, Samantha Maria
Credentials PHARM.D., RPH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2015
Last updated Dec 8th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073988697 NPPES
Massachusetts Other 236117 MA BOP REGISTRATION

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