Individual
MR. IVAN LEE BOHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AIRFORCE BASE, LAS VEGAS, NV 89191-6600
(702) 653-3210
Mailing address
3428 ROUND VALLEY WAY, LAS VEGAS, NV 89129-2124
(702) 656-6466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19440
CA
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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