Individual
JOSHUA JACK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 2ND ST S, NAMPA, ID 83651-3700
(208) 465-2836
Mailing address
50 2ND ST S, NAMPA, ID 83651-3700
(208) 465-2836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6520
ID
Other
Enumeration date
11/02/2011
Last updated
12/31/2019
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