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Individual

JOHN HOWARD GATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
355 E NEIDER AVE, COEUR D ALENE, ID 83815-3723
(208) 676-7353
(208) 676-7379
Mailing address
355 E NEIDER AVE, COEUR D ALENE, ID 83815-3723
(208) 676-7353
(208) 676-7379

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P-3801
ID

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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