Provider Demographics
NPI:1033238548
Name:BOLSKI, NORMAN L (RPH)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:L
Last Name:BOLSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-3807
Mailing Address - Country:US
Mailing Address - Phone:508-678-0918
Mailing Address - Fax:
Practice Address - Street 1:323 WILLIAM S CANNING BLVD
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-2339
Practice Address - Country:US
Practice Address - Phone:508-678-0080
Practice Address - Fax:508-678-0163
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist