Individual ProviderMaria Patricia BolivarPharmacistPharmacy Service ProvidersPractice Address15 State Rd, N Dartmouth, MA 02747-3317(508) 441-5016(508) 669-6606PECOS EnrollmentBased on the most recent information from CMS, provider Maria Patricia Bolivar does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447455886Provider TypeIndividualFull NameBolivar, Maria PatriciaTitleMs.CredentialRPHGenderFemaleSole ProprietorYesEnumeration Date6/17/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address15 State Rd, N Dartmouth, MA 02747-3317Phone(508) 441-5016Fax(508) 441-5001Mailing LocationMailing Address1945 Milk St, Dighton, MA 02715-1135Phone(508) 669-6606FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense20622Massachusetts