Individual
DR. JOHN GLENN WOHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10316 W EDNA ST, BOISE, ID 83704-3931
(208) 954-4135
Mailing address
10316 W EDNA ST, BOISE, ID 83704-3931
(208) 954-4135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5961
ID
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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