Individual
DR. BRENT BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
715 12TH AVE S, NAMPA, ID 83651-4254
(208) 466-3592
(208) 463-1392
Mailing address
715 12TH AVE S, NAMPA, ID 83651-4254
(208) 466-3592
(208) 463-1392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5172
ID
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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