Individual
MR. ERIC ANTHONY BOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2757 22ND ST. SE, SALEM, OR 97302
(503) 378-5590
Mailing address
2757 22ND ST. SE, SALEM, OR 97302
(503) 378-5590
(503) 378-8902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009446
OR
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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