Matthew Bolomey Valid NPI
Individual provider · Pharmacist · O Fallon, MO
- NPI
- 1346022944
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 2023042216 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-10-18
- Last updated
- 2023-10-18
Practice location
1490 Mexico Loop Rd E
O Fallon, MO 63366-6015
(636) 978-1886