Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY M BOLD, RPH
ActivePharmacist Clinician (PhC) · CANBY, OR
Registration Details
- NPI Number
- 1356595656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2008 (17.442512875666 yrs)
- Last Updated
- Mar 18, 2021
- Licenses
-
RPH-0005847 (OR)RPH-0005847 (OR)
Practice Information
- Address
-
1080 SW 1ST AVECANBY, OR, 970133828Browse OR providers · Browse ZIP 97013
- Phone
- 5032631600
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Clinician (PhC) Providers in CANBY, OR
| Name | Credential | NPI |
|---|---|---|
| TIFFANY MA | — | 1063170017 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.