NPI age
19 years
Enumerated 2006-10-23
Across 1739 active pharmacist providers in Idaho.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807065100 |
Multi-provider organization. 8 individual providers on file at this primary address.
Subpart of Lost Rivers District Hospital.
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