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Individual

DR. JEREMY T BOEHME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1 FEDERAL DR, FORT SNELLING, MN 55111-4080
(612) 467-7901
Mailing address
2700A COLLEGE DR, RICE LAKE, WI 54868-2449
(715) 236-2676
(715) 236-3359

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
P6533
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P6533
ID
1835P1200X
Pharmacotherapy Pharmacist
P6533
ID
1835P2201X
Ambulatory Care Pharmacist
Primary
P6533
ID

Other

Enumeration date
10/22/2011
Last updated
12/18/2025
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