Richard A Bolisenga
Richard A Bolisenga is a Pharmacy Technician in Midlothian, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
3812 148th StMidlothian, IL 60445-3415
Phone: (312) 415-0058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence 049.241981 (IL) |
|---|
Record details
| NPI number | 1588329494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 4, 2021 |
| Last updated in NPPES | November 4, 2021 |
| Certification date | November 4, 2021 |
| Mailing address | 3812 148th St, Midlothian, IL 60445-3415 |