Individual
KELSEY DIANE BOHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
15461 S 1ST AVE, PHOENIX, AZ 85045-0401
(309) 824-2751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017923
AZ
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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