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Individual

BENJAMIN JOSEPH BOBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
715 12TH AVE S, NAMPA, ID 83651-4254
(208) 466-3592
Mailing address
603 7TH AVE S, NAMPA, ID 83651-4171
(208) 577-7942

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6208
ID

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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