Individual
DANIEL A SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, R.PH
Contact information
Practice address
235 S 4TH, POCATELLO, ID 83201
(208) 233-3342
Mailing address
3263 N STEPHANIE ROAD, POCATELLO, ID 83204
(208) 244-1422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5456
ID
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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