Individual
MR. GARRY L GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1198
Mailing address
7042 N SUGAR PLUM AVE, EAGLE, ID 83616-6701
(208) 288-2218
(208) 422-1198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P-3559
ID
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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