Individual
DR. PAUL CHARLES VILLARET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1855 N GROVELAND PL, EAGLE, ID 83616-4275
(702) 335-2626
Mailing address
1855 N GROVELAND PL, EAGLE, ID 83616-4275
(702) 335-2626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6336
ID
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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