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Individual

MR. ALBERT STANTON TOLLINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
16700 N MARKET PLACE BLVD, NAMPA, ID 83687-7909
(208) 465-3809
Mailing address
2003 N BEACH ST, BOISE, ID 83706-1003
(208) 323-6089

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P3492
ID

Other

Enumeration date
01/26/2012
Last updated
01/26/2012
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