Jody L. Bolinske, R.PH.

Individual provider Active NPI Pharmacist · Rapid City, SD

NPI 1467599167 · NPPES record last updated Jan 5, 2016

Key facts

NPI
1467599167
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
4421 (SD)
Practice address
23831 Ranch View CT
Rapid City, SD 57702-7367
Phone
(701) 770-7441
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
4476NDMDPharmacist
4421SDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4476 ND
Pharmacist 183500000X 4421 SD Yes

Addresses

Primary practice location

23831 Ranch View CT
Rapid City, SD 57702-7367

Mailing address

23831 Ranch View CT
Rapid City, SD 57702-7367
Phone (701) 770-7441

Other providers in Rapid City, SD

All providers in Rapid City, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.