Individual
CADE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1219 S BROADWAY AVE, BOISE, ID 83706-3701
(208) 433-9905
Mailing address
2940 W COBALT DR UNIT A106, MERIDIAN, ID 83642-5987
(208) 680-9168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
M10911
ID
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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