IndividualActive
Jefferson Bohan, PHARM.D.
NPI 1508245937 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Boise, ID
Provider details
- NPI number
- 1508245937
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PR27887 (ME)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
500 W Fort St
Buildling T111
Boise, ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1155
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Fort St
Boise, ID 83702-4501
Registry dates
- Enumerated
- 2015-05-19
- Last updated
- 2015-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.