Most Relevant Information
Provider Data
| NPI Number: | 1003180845 |
| Provider Name: | IBTISSAM N BOULOS RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH00011157 |
Most Important Dates
| Enumeration Date: | 02/24/2012 |
| Last Updated: | 02/24/2012 |
Provider Practice Location
1225 W BAKERVIEW RD
BELLINGHAM
WA
982269691
Practice Location Phone/Fax
| Phone: | 3607882933 |
| Fax: |
Provider Mailing Location
1225 W BAKERVIEW RD
BELLINGHAM
WA
982269691
Provider Mailing Phone/Fax
| Phone: | 3607882933 |
| Fax: |