NPI age
16 years
Enumerated 2009-09-29
Across 1739 active pharmacist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 6968 | NONE |
| 01 (HI) | 6968696869 | NONE |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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