Most Relevant Information
Provider Data
| NPI Number: | 1003429556 |
| Provider Name: | ANDRIA RAE BOLAND PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | S024832 |
Most Important Dates
| Enumeration Date: | 08/25/2020 |
| Last Updated: | 08/25/2020 |
Provider Practice Location
9100 N SILVERBELL RD
TUCSON
AZ
857438172
Practice Location Phone/Fax
| Phone: | 5205798935 |
| Fax: |
Provider Mailing Location
11213 W FLYCATCHER DR
MARANA
AZ
856537731
Provider Mailing Phone/Fax
| Phone: | 9107591152 |
| Fax: |