Individual
MR. HERBERT BOHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
306 5TH ST, CLARKSTON, WA 99403-1860
(509) 758-6660
(509) 758-9461
Mailing address
4440 HOLDEN LN, LEWISTON, ID 83501-6256
(541) 729-0651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61359057
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10031
STATE PHARMACIST LICENSE
ID
01
—
PH61359057
STATE PHARMACIST LICENSE
WA
Enumeration date
02/09/2012
Last updated
06/11/2025
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