Individual
RICHARD HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10600 FAIRVIEW AVE, BOISE, ID 83713-8065
(208) 322-1209
(208) 322-1322
Mailing address
10600 FAIRVIEW AVE, BOISE, ID 83713-8065
(208) 322-1209
(208) 322-1322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4520
ID
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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