Individual
DR. THOMAS GILL WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
3748 LA MESITA WAY, BOISE, ID 83702-1535
(208) 343-1563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5680
ID
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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