MR. Chad Asa Bohannon, RPH

NPI #1336139146 in Chillicothe, Illinois

Provider Information

NPI Number
1336139146
Entity Type
Individual
Name
MR. Chad Asa Bohannon, RPH
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Oct 24, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
318 S PLAZA PARK
ZIP Code
61523-2214
Phone
(309) 274-9571

Specialties & Taxonomy Codes

Specialty
Pharmacist

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