NPI age
20 years
Enumerated 2005-06-16
Across 71 active pharmacist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1381 | CGP |
| 01 (ID) | 3 08 010444 | BCPS |
Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.
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