Individual
SHAWN BARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
869 E AVALON ST, KUNA, ID 83634-2141
(208) 319-0205
Mailing address
10151 W BROWNSTONE DR, BOISE, ID 83709-6989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6452
ID
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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