Individual provider · Type 1 NPI

Michael Bolan

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Wainwright, AK

NPI number 1609379726 Active

Practice location

4076 Neely Road
Fort Wainwright, AK 99709

Mailing address

3010 Davis Rd Apt B3
Fairbanks, AK 99709-5236

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X03236558 (OH)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1609379726

Michael Bolan's National Provider Identifier is 1609379726, issued on Mar 15, 2018. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Fort Wainwright, AK. The record was last updated on Mar 15, 2018.