Individual
JOSHUA MATT REDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10565 W LAKE HAZEL RD, BOISE, ID 83709-6326
(208) 319-0882
Mailing address
225 E PENNSYLVANIA ST, BOISE, ID 83706-4423
(435) 339-9376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9681
ID
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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