Individual
DUSTIN JOSEPH GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2400 12TH AVE RD, NAMPA, ID 83686-6300
(208) 465-6597
Mailing address
2400 12TH AVE RD, NAMPA, ID 83686-6300
(208) 465-6597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9470
ID
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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