Individual
ZACHARY DUGDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7020 W STATE ST, BOISE, ID 83714-7419
(208) 853-3503
Mailing address
7020 W STATE ST, BOISE, ID 83714-7419
(208) 853-3503
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT69600
ID
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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