Individual
JUDD ALAN KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1620 N WHITLEY DR, FRUITLAND, ID 83619-2129
(208) 452-7075
(208) 452-7446
Mailing address
1620 N WHITLEY DR, FRUITLAND, ID 83619-2129
(208) 452-7075
(208) 452-7446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15851
NV
183500000X
Pharmacist
Primary
P6023
ID
Other
Enumeration date
06/21/2011
Last updated
04/08/2022
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