Individual
VERN STAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
476999 US-95, WALMART SUPERCENTER, PONDERAY, ID 83852
(208) 265-4490
Mailing address
476999 US-95, WALMART, PONDERAY, ID 83852
(208) 265-4490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
47529
TX
183500000X
Pharmacist
Primary
P7403
ID
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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