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Mr. Maxie D Bolden, RPH
Pharmacist in South Bend, Indiana
NPI 1396952412

Maxie D Bolden is a Pharmacist based in South Bend, IN. Maxie D Bolden practices in South Bend, IN and has the professional credentials of RPH. The NPI Number for Maxie D Bolden is 1396952412 and holds a License No. 26014697A (Indiana).

The current practice location address for Maxie D Bolden is 714 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-7176 and via fax at 574-647-6767.

Location: 714 N Michigan St, South Bend, IN, 46601-1035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396952412
Provider Name
Maxie D Bolden
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
714 N Michigan St, South Bend, IN, 46601-1035
Phone Number
574-647-7176
Fax Number
574-647-6767
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26014697A 01 IN PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
714 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1035
Phone Number
574-647-7176
Fax Number
574-647-6767
person
Provider Business Mailing Address Details
Address
714 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1035
Phone Number
574-647-7176
Fax Number
574-647-6767
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26014697A (Indiana)
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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