Individual
DR. COLTON JOHN PLOUZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3403 W CHINDEN BLVD, MERIDIAN, ID 83646-7151
(986) 200-4146
(986) 200-4137
Mailing address
4848 W BEECHSTONE ST, MERIDIAN, ID 83646-4917
(385) 350-7563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7788409-1701
UT
183500000X
Pharmacist
Primary
P9001
ID
Other
Enumeration date
08/06/2020
Last updated
01/08/2022
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