Individual
ROBERT NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4257 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2419
(208) 237-3940
Mailing address
4257 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2419
(208) 237-3940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
39022
CA
183500000X
Pharmacist
8868
NV
183500000X
Pharmacist
Primary
P4868
ID
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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