Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Bolan

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1609379726

Michael Bolan is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Wainwright, Alaska. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

4076 Neely Rd
Fort Wainwright, AK 99709
Phone: (907) 361-5109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 03236558 (OH)

Record details

NPI number1609379726
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESMarch 15, 2018
Mailing address3010 Davis Rd Apt B3, Fairbanks, AK 99709-5236