Provider Demographics
NPI:1144612664
Name:BOHMER, VIRGINIA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:LYNN
Last Name:BOHMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 PONDER DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1906
Mailing Address - Country:US
Mailing Address - Phone:859-322-6999
Mailing Address - Fax:
Practice Address - Street 1:7850 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4208
Practice Address - Country:US
Practice Address - Phone:513-233-4420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1835G0000X183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist