Kelly M Bolesta in Wilkes Barre - Pharmacotherapy

Kelly M Bolesta - NPI 1083684799

Kelly M Bolesta is a Pharmacotherapy in Wilkes Barre, Pennsylvania. Kelly M Bolesta practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Kelly M Bolesta is 1083684799. The last update date is 2022-01-10.

Kelly M Bolesta's current location address is 1000 E Mountain Blvd # Mc34-06, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708087706 and fax number 5708086433. The mailing address for Kelly M Bolesta is 1000 E Mountain Blvd # Mc34-06, Wilkes Barre, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly M Bolesta
Address 1000 E Mountain Blvd # Mc34-06, Wilkes Barre, Pennsylvania
Phone Number 5708087706
Fax Number 5708086433
Sole Proprietor N
Credentials PHARM.D.

NPI Number Detail

NPI Number 1083684799
Provider Enumeration Date 2006-01-25
Last Updated Date 2022-01-10

Provider Mailing Address Detail

Address 1000 E Mountain Blvd # Mc34-06
City Wilkes Barre
State Pennsylvania (PA)
Post Code 187110001
Phone Number 5708087706
Fax Number 5708086433

Provider's Primary Taxonomy Detail

Speciality Pharmacotherapy
Taxonomy 1835P1200X
Licence No RP438081
Definition:
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons

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FAQs about Kelly M Bolesta

What is the unique 10-digit identification code assigned to Kelly M Bolesta by the Centers for Medicare & Medicaid Services?

The Kelly M Bolesta has been issued the NPI (National Provider Identifier) 1083684799, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kelly M Bolesta is physically located?

The Kelly M Bolesta is situated at the following address: 1000 E Mountain Blvd # Mc34-06, Wilkes Barre, PA 187110001.

What is Kelly M Bolesta's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kelly M Bolesta's area of specialization is Pharmacotherapy, and the corresponding taxonomy code that categorizes this field of practice is 1835P1200X.

On what date did the Kelly M Bolesta receive the assignment of its 1083684799 from the Centers for Medicare & Medicaid Services?

The Kelly M Bolesta was issued its 1083684799 by the Centers for Medicare & Medicaid Services on 2006-01-25.

When was the information regarding Kelly M Bolesta, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kelly M Bolesta, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-10.

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