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General NPI Number Information
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NPI Number | 1477826253
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Entity Type | Individual
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Provider Name | HERBERT BOHNER RPH
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Gender | Male
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 306 5TH ST
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City | CLARKSTON
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State | WA
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Zip | 99403-1860
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Country | US
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Telephone | 509-758-6660
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Fax | 509-758-9461
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Provider Business Mailing Address
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Address Line | 4440 HOLDEN LN
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City | LEWISTON
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State | ID
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Zip | 83501-6256
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Country | US
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Telephone | 541-729-0651
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH61359057
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License Number State | WA
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