Individual
DANE DAVID GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1570 E FAIRVIEW AVE, MERIDIAN, ID 83642-1821
(208) 888-0034
(208) 887-1332
Mailing address
1570 E FAIRVIEW AVE, MERIDIAN, ID 83642-1821
(208) 888-0034
(208) 887-1332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7305
ID
Other
Enumeration date
08/06/2015
Last updated
06/01/2023
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