TERRELL LANE BOLER NPI 1366082893

NPI Information

NPI: 1366082893
Provider Name: TERRELL LANE BOLER
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
1811 W GOVERNMENT ST
BRANDON, MS
ZIP 39042
Phone: (601) 825-3773
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Terrell Lane Boler is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Brandon, MS. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Terrell Lane Boler NPI is 1366082893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1811 W GOVERNMENT ST
BRANDON, MS
ZIP 39042-414
Phone: (601) 825-3773
Fax: (601) 591-4408

The enumeration date for this NPI number is 1/13/2020 and was last updated on 3/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	E-010540	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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