Individual
JONATHAN DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 W STATE ST, BOISE, ID 83702-4040
(208) 412-6590
Mailing address
1650 W STATE ST, BOISE, ID 83702-4040
(208) 412-6590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10081
ID
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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