Individual
DR. SETH EMMANUEL ROURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2490
Mailing address
8650 W RIFLEMAN ST APT C301, BOISE, ID 83704-8382
(325) 829-7176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9398
ID
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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