Individual
LYMAN HOLYOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8455 W EMERALD ST, BOISE, ID 83704-8306
(208) 323-0067
Mailing address
8455 W EMERALD ST, BOISE, ID 83704-8306
(208) 323-0067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6314
ID
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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