Individual
DR. DAVID NATHAN HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6 S. MAIN ST, GRACE, ID 83241
(208) 425-3766
(208) 425-9010
Mailing address
PO BOX 325, GRACE, ID 83241-0325
(208) 425-3766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7251
ID
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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