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Dustin Edward Boller, PHARM. D

NPI 1376803031ActiveIndividual· Pharmacist· Bethel, AK

Pharmacist (PHARM. D) in Bethel, Alaska, licensed in AK, with an NPI issued in May 2012.

Overview

NPI1376803031
StatusActive
Entity typeIndividual
CredentialPHARM. D
Sole proprietorNo
NPI issuedMay 29, 2012
Last updated in NPPESMay 29, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X1984AK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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