George Bolger, RPH
Individual provider Active NPI Pharmacist · Boonsboro, MD
NPI 1275668196 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275668196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7884 (MD)
- Practice address
- 7628 Old National Pike
Boonsboro, MD 21713-2002 - Phone
- (301) 432-5488
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7884 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7884 | MD | Yes |
Addresses
Primary practice location
7628 Old National Pike
Boonsboro, MD 21713-2002
Mailing address
7023 Ridge Rd
Frederick, MD 21702-3509
Phone (301) 371-5244
Other providers in Boonsboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.