Individual
STEVE R FAHLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
700 12TH AVE S, NAMPA, ID 83651-4255
(208) 467-1560
(208) 467-1823
Mailing address
2385 E GARBER DR, MERIDIAN, ID 83646-4752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6311
ID
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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