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MICHAEL BOLAN
NPI 1609379726
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Wainwright, AK

Active since March 15, 2018
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99709(907) 361-5109 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Bolan NPPES

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

MICHAEL BOLAN (NPI 1609379726) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fort Wainwright, Alaska, licensed in Ohio (03236558) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1609379726
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMICHAEL BOLAN
Location Address4076 NEELY ROADFort Wainwright, AK 99709
Mailing Address3010 Davis Rd Apt B3Fairbanks, AK 99709-5236 · (907) 347-4612
Phone(907) 361-5109
Sole ProprietorNo
Enumeration DateMarch 15, 2018
✔ NPI 1609379726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OH · 03236558
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
4076 NEELY ROAD, Fort Wainwright, AK 99709
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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 Michael Bolan's NPI number?

The NPI number for Michael Bolan is 1609379726. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Michael Bolan located?

Michael Bolan practices at 4076 Neely Road, Fort Wainwright, AK 99709. The listed phone number is (907) 361-5109.

What is Michael Bolan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Michael Bolan was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.