Individual
NICOLE BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 CALHOUN ST MSC 140, CHARLESTON, SC 29425-0001
(843) 792-7523
Mailing address
280 CALHOUN ST MSC140, CHARLESTON, SC 29425-0001
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11672
SC
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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