DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPENCER BOLD, PHARMD

Active Sole Proprietor

Pharmacist Clinician (PhC) · SUSSEX, WI

Registration Details

NPI Number
1669080784
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2020 (5.7822119701452 yrs)
Last Updated
Dec 5, 2020
Licenses
20357-40 (WI)
20357-40 (WI)
Sole Proprietor
Yes

Practice Information

Address
N65W24838 MAIN ST
SUSSEX, WI, 530892670
Browse WI providers · Browse ZIP 53089
Phone
2629466363
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in SUSSEX, WI

Name Credential NPI
RICK L. VANIPEREN R.PH , M.B.A 1013298322
SARA RIEBOLDT PHARMD 1437403318
AMANDA RAE HAMMOND PHARMD 1558250290
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.