Individual
BRIAN ROTHFUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5617
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4744
ID
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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