Individual
GREGORY HAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
259 PHEASANT RD W UNIT 68, TWIN FALLS, ID 83301-8048
(208) 821-0060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
158354
ID
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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