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NPI Code Detail

MEDICARE: DR. BOHAN LI PHARM.D.

MEDICARE:  DR. BOHAN  LI  PHARM.D.
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
1183500000XPharmacist2013022778MO

General Provider Information

NPI Number : 1548601180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BOHAN LI PHARM.D.
Provider Business Mailing Address
First Line : 2340 HAMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-2935
Country : US
Telephone Number : 314-647-1256
Fax Number : 314-644-0924
Provider Business Practice Location Address
First Line : 2340 HAMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-2935
Country : US
Telephone Number : 314-647-1256
Fax Number : 314-644-0924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2013
Last Update Date : 07/11/2013

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Directions to “ DR. BOHAN LI PHARM.D.” Practice Location

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