SKYLAR REID BOLDUC PHARMACIST
NPI 1568948743
Pharmacist in Tuscola, IL

Active since July 11, 2018
104 E SOUTHLINE RD, TUSCOLA, IL 61953(217) 351-8497 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2021, Jul 11, 2018 (2 updates tracked since 2018).

About Skylar Reid Bolduc Pharmacist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKYLAR REID BOLDUC PHARMACIST (NPI 1568948743) is an individual pharmacist in Tuscola, Illinois, licensed in Illinois (051299700) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1568948743
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSKYLAR REID BOLDUCCredential: PHARMACIST
Location Address104 E SOUTHLINE RDTuscola, IL 61953-2075
Mailing Address1620 Crabapple LnChampaign, IL 61822-3313 · (309) 714-2511
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
NPI 1568948743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in IL · 051299700 Licensed in MO · 2016028564
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
104 E SOUTHLINE RD, Tuscola, IL 61953

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
104 E SOUTHLINE RD, ROUTE 36 UNIT A
TUSCOLA, IL 61953
Pharmacy (Long Term Care Pharmacy)
104 E SOUTHLINE RD
TUSCOLA, IL 61953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skylar Bolduc's NPI number?

The NPI number for Skylar Bolduc is 1568948743. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Skylar Bolduc located?

Skylar Bolduc practices at 104 E Southline Rd, Tuscola, IL 61953. The listed phone number is (217) 351-8497.

What is Skylar Bolduc's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Skylar Bolduc was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.