Individual
MR. MARLIN LAYNE FELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
830 DEERFIELD DRIVE, HAILEY, ID 83333
(909) 894-9940
Mailing address
830 DEERFIELD DR, HAILEY, ID 83333-8541
(909) 894-9940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
39265
CA
183500000X
Pharmacist
Primary
4540
ID
Other
Enumeration date
01/22/2009
Last updated
06/18/2015
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