MEDICARE: MR. PATRICK JOHN BOHAN RPH

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
1	1835P1200X	Pharmacotherapy Pharmacist	RP033484L	PA

General Provider Information

NPI Number	:	1346486701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK JOHN BOHAN RPH

Provider Business Mailing Address
First Line	:	1000 EAST MOUNTAIN DRIVE
Second Line	:	1000 EAST MOUNTAIN DRIVE
City	:	WILKES-BARRE
State	:	PA
Zip	:	18702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 E MOUNTAIN DR
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-7909
Country	:	US
Telephone Number	:	570-826-7708
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	01/06/2009

Similar Medicare Providers

1295067437 — MS. AMANDA L SEKUSKY D.O.
Practice Location Address:

1000 E MOUNTAIN BLVD
BEAR CREEK TOWNSHIP, PA
18702-7909

Practice Phone: 570-808-2383
Practice Fax:

1740122324 — JEAN CARLOS CASTILLO M.D.
Practice Location Address:

1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA
18702

Practice Phone: 570-808-2383
Practice Fax:

1740122720 — FLORENCE ODAKA MD
Practice Location Address:

166 HANOVER ST
WILKES BARRE, PA
18702-3540

Practice Phone: 570-808-8780
Practice Fax:

1063443844 — DR. LAWRENCE JOEL GRILL M.D.
Practice Location Address:

500 SCOTT ST
WILKES BARRE, PA
18702-5616

Practice Phone: 570-824-1700
Practice Fax: 570-824-1300

1083388508 — MS. DANIELLE LEE ANTONINI MSW/LSW
Practice Location Address:

335 S FRANKLIN ST
WILKES BARRE, PA
18702-3808

Practice Phone: 570-825-6425
Practice Fax:

1043704083 — MATTHEW KARL SHOENER MS, CAADC
Practice Location Address:

125 N WILKES BARRE BLVD STE 4
WILKES BARRE, PA
18702-5354

Practice Phone: 570-208-4858
Practice Fax: 570-208-4874

Directions to “ MR. PATRICK JOHN BOHAN RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.