Individual
MR. LLOYD RAUENHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 COMMERCE DR, SMELTERVILLE, ID 83868
(208) 783-2739
(208) 783-2825
Mailing address
PO BOX 575, PINEHURST, ID 83850-0575
(208) 682-9122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5377
ID
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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