Individual
JUDD ALAN DURRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 S EAGLE RD, MERIDIAN, ID 83642-7018
(208) 898-2543
Mailing address
3250 S EAGLE RD, MERIDIAN, ID 83642-7018
(208) 898-2543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7791
ID
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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