Provider Demographics
NPI:1922639905
Name:BOHON, LANA DRUZHININ (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:DRUZHININ
Last Name:BOHON
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 1:5249 E SHEA BLVD UNIT 208
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5739
Mailing Address - Country:US
Mailing Address - Phone:480-687-4717
Mailing Address - Fax:
Practice Address - Street 1:5249 E SHEA BLVD UNIT 208
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5739
Practice Address - Country:US
Practice Address - Phone:480-687-4717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ154431835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist