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Individual

RODNEY RAY BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2400 12TH AVE RD, NAMPA, ID 83686-6300
(208) 463-2903
(208) 468-0215
Mailing address
2805 PASCOE LN, NAMPA, ID 83686-8244
(208) 880-7488

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5115
ID

Other

Enumeration date
05/20/2012
Last updated
05/20/2012
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