Individual
JEFFERSON BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
500 W FORT ST, BUILDLING T111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1155
Mailing address
500 W FORT ST, BUILDLING T111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1155
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PR27887
ME
Other
Enumeration date
05/19/2015
Last updated
08/20/2015
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