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Larry Glenn Bolyard JR.
Pharmacist in Glen Allen, Virginia
NPI 1265036214

Larry Glenn Bolyard JR. is a Pharmacist based in Glen Allen, VA. Larry Glenn Bolyard JR. practices in Glen Allen, VA. The NPI Number for Larry Glenn Bolyard JR. is 1265036214 and holds a License No. 0202007571 (Virginia).

The current practice location address for Larry Glenn Bolyard JR. is 12305 Ashton Mill Ter, Glen Allen, VA and can be reached out via phone at 804-512-4590.

Location: 12305 Ashton Mill Ter, Glen Allen, VA, 23059-5487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265036214
Provider Name
Larry Glenn Bolyard JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
12305 Ashton Mill Ter, Glen Allen, VA, 23059-5487
Phone Number
804-512-4590
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0089651 01 CVS
institution
Provider Business Practice Location Address Details
Address
12305 Ashton Mill Ter
City
Glen Allen
State
Virginia
Zip
23059-5487
Phone Number
804-512-4590
Fax Number
person
Provider Business Mailing Address Details
Address
12305 Ashton Mill Ter
City
Glen Allen
State
Virginia
Zip
23059-5487
Phone Number
804-512-4590
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
0202007571 (Virginia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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