Individual
ROBERT ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 CLEVELAND BLVD, CALDWELL, ID 83605
(208) 455-1792
Mailing address
1012 CLEVELAND BLVD, CALDWELL, ID 83605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7297
ID
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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