Individual
AN T BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3005 MIDWAY DR, SAN DIEGO, CA 92110-4502
(619) 221-0834
Mailing address
PO BOX 1685, CARMEL, CA 93921-1685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55152
CA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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