Individual
DR. CURTIS T WALL
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
Mailing address
3513 N COLE RD APT 205, BOISE, ID 83704-0768
(801) 837-2441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0018204
OR
183500000X
Pharmacist
Primary
P9148
ID
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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