NPI age
19 years
Enumerated 2007-02-20
Across 71 active pharmacist providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1402CP | STATE BOARD OF PHARMACY |
| 01 (DC) | BB8651526 | CONTROLLED SUBSTANCE REGI |
Multi-provider organization. 20 individual providers on file at this primary address.
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