Individual
JENNIFER BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2845 W CLEVELAND RD, SOUTH BEND, IN 46628-6188
(574) 277-1538
Mailing address
53302 HICKORY RD, SOUTH BEND, IN 46635-1440
(219) 242-4364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025113A
IN
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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