Skylar Reid Bolduc, PHARMACIST is a
Pharmacist based in Tuscola, Illinois. Skylar Reid Bolduc is licensed to practice in Illinois (license number 051299700) and his current practice location is
104 E Southline Rd, Tuscola, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 351-8497.
NPI number for Skylar Reid Bolduc is 1568948743 and his current mailing address is 1620 Crabapple Ln, Champaign, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568948743.
Healthcare Provider's Profile
Full Name | Skylar Reid Bolduc |
---|
Gender | Male |
---|
Speciality | Pharmacist |
---|
Location | 104 E Southline Rd, Tuscola, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568948743
- Provider Enumeration Date: 07/11/2018
- Last Update Date: 11/02/2021
Medical Identifiers
Medical identifiers for Skylar Reid Bolduc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568948743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 2016028564 (Missouri) | Secondary |
183500000X | Pharmacist | 051299700 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Skylar Reid Bolduc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Skylar Reid Bolduc, PHARMACIST 1620 Crabapple Ln, Champaign, IL 61822-3313 Ph: (309) 714-2511 | Skylar Reid Bolduc, PHARMACIST 104 E Southline Rd, Tuscola, IL 61953-2075 Ph: (217) 351-8497 |
Reviews and Comments