Individual
SPENCER A GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
2219 12TH AVE RD, NAMPA, ID 83686-6313
(208) 318-0536
(208) 318-0542
Mailing address
2219 12TH AVE RD, NAMPA, ID 83686-6313
(208) 318-0536
(208) 318-0542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6834
ID
Other
Enumeration date
07/07/2013
Last updated
12/08/2014
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