Individual
MR. GREGORY FOREST CRAVENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1071
(208) 422-1082
Mailing address
1836 SE 3RD WAY, MERIDIAN, ID 83642-6652
(208) 422-1071
(208) 422-1082
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
P4745
ID
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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