Individual
BRUCE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3250 E 17TH ST, AMMON, ID 83406-6758
(208) 552-7677
(208) 552-2098
Mailing address
4715 STANFIELD LN, IDAHO FALLS, ID 83404-7753
(208) 552-7677
(208) 552-2098
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
P6715
ID
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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