Individual
RYAN MICHAEL LENGENFELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
715 12TH AVE S, NAMPA, ID 83651-4297
(208) 466-3592
Mailing address
715 12TH AVE S, NAMPA, ID 83651-4297
(208) 466-3592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2861972
ID
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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