Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT BOLESTA
ActivePharmacist Clinician (PhC) · FORTY FORT, PA
Registration Details
- NPI Number
- 1669981403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2017 (8.5714681816052 yrs)
- Last Updated
- Sep 25, 2017
- License
-
RP045571L (PA)
Practice Information
- Address
-
190 WELLES ST STE 128FORTY FORT, PA, 187044961Browse PA providers · Browse ZIP 18704
- Phone
- 5707146643
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
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.