Individual
DAVID LYN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9196 W EMERALD ST, SUITE 110, BOISE, ID 83704-0679
(208) 323-1259
(208) 323-5666
Mailing address
9196 W EMERALD ST, SUITE 110, BOISE, ID 83704-0679
(208) 323-1259
(208) 323-5666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5023
ID
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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