Individual
RICHARD MARROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4797
Mailing address
3944 LAURA CIR, AMMON, ID 83406-4743
(208) 716-5896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5576
ID
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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