Individual
JOHN BRONSELL RYAN BRONSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
427 12TH ST, PLUMMER, ID 83851-4000
(208) 686-1931
(208) 686-3311
Mailing address
427 12TH ST, PLUMMER, ID 83851-4000
(208) 686-6611
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
P7445
ID
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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