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NPI Code Detail

MEDICARE: TERESA A BOHRMAN PHARMD

MEDICARE: TERESA A BOHRMAN 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
1183500000XPharmacist28RI03190000NJ

General Provider Information

NPI Number : 1093098113
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA A BOHRMAN PHARMD
Provider Business Mailing Address
First Line : 2479 CHURCH RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-8109
Country : US
Telephone Number : 732-920-3276
Fax Number :
Provider Business Practice Location Address
First Line : 2479 CHURCH RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-8109
Country : US
Telephone Number : 732-920-3276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2011
Last Update Date : 09/25/2011

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Directions to “ TERESA A BOHRMAN PHARMD” Practice Location

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