Individual
GRAYSON NORMAN SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 12TH AVE RD, NAMPA, ID 83686-6441
(208) 467-5159
(208) 467-5447
Mailing address
2832 W TENUTA ST, MERIDIAN, ID 83646-3230
(208) 201-1404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18143
NV
183500000X
Pharmacist
Primary
P6641
ID
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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