Individual
NATHAN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1913 ADDISON AVE E, TWIN FALLS, ID 83301-5305
(208) 251-8752
Mailing address
2290 STADIUM BLVD, TWIN FALLS, ID 83301-4481
(208) 251-8752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9452
ID
Other
Enumeration date
08/03/2021
Last updated
08/20/2021
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