Healthcare Provider Details

I. General information

NPI: 1033238548
Provider Name (Legal Business Name): NORMAN L BOLSKI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 WILLIAM S CANNING BLVD
FALL RIVER MA
02721-2339
US

IV. Provider business mailing address

201 CONNECTICUT AVE
SOMERSET MA
02726-3807
US

V. Phone/Fax

Practice location:
  • Phone: 508-678-0080
  • Fax: 508-678-0163
Mailing address:
  • Phone: 508-678-0918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13258
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: