Most Relevant Information
Provider Data
| NPI Number: | 1003057324 |
| Provider Name: | LAURIE ANN BOHLER CPHT |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | 180106834480059 |
Most Important Dates
| Enumeration Date: | 03/17/2009 |
| Last Updated: | 03/17/2009 |
Provider Practice Location
2104 MASSEY AVE
BRANCH MEDICAL CLINIC NAS MAYPORT
JACKSONVILLE
FL
32224
Practice Location Phone/Fax
| Phone: | 9042704205 |
| Fax: | 9042704454 |
Provider Mailing Location
244 OTTERWOOD CT
JACKSONVILLE
FL
322253900
Provider Mailing Phone/Fax
| Phone: | 9042200459 |
| Fax: | 9042200459 |