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Individual

LENDER ALGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-0568
Mailing address
102 SW QUAKER DR, MOUNTAIN HOME, ID 83647-6432
(208) 587-0568

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9683
ID

Other

Enumeration date
01/26/2022
Last updated
01/26/2022
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