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NPI Code Detail

MEDICARE: RIHANNE BOHANNON PHARMD

MEDICARE: RIHANNE BOHANNON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistS016757AZ

General Provider Information

NPI Number : 1063742286
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIHANNE BOHANNON PHARMD
Provider Business Mailing Address
First Line : 4134 N 44TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-4217
Country : US
Telephone Number : 602-954-9119
Fax Number : 602-954-9229
Provider Business Practice Location Address
First Line : 4134 N 44TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-4217
Country : US
Telephone Number : 602-954-9119
Fax Number : 602-954-9229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 01/11/2010

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Directions to “ RIHANNE BOHANNON PHARMD” Practice Location

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