Individual
RICKY A BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH., C.D.M.
Contact information
Practice address
400 E 1ST ST, MORRIS, MN 56267-1408
(320) 589-7679
(320) 589-7674
Mailing address
400 E 1ST ST, PO BOX 660, MORRIS, MN 56267-1408
(320) 589-7679
(320) 589-7674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118990
MN
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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