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NPI Code Detail

MEDICARE: BRIAN SCOTT BOHMAN PHARMD

MEDICARE:   BRIAN SCOTT BOHMAN  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
1183500000XPharmacist18603NV
2183500000XPharmacist6258396-1701UT

General Provider Information

NPI Number : 1063729820
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN SCOTT BOHMAN PHARMD
Provider Business Mailing Address
First Line : 5710 W 7800 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84081-5436
Country : US
Telephone Number : 801-545-3480
Fax Number : 801-545-3484
Provider Business Practice Location Address
First Line : 5710 W 7800 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84081-5436
Country : US
Telephone Number : 801-545-3480
Fax Number : 801-545-3484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2010
Last Update Date : 05/21/2026

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Directions to “ BRIAN SCOTT BOHMAN PHARMD” Practice Location

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