Individual
WAYNE D BAURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
335 W APPLEWAY, COEUR D'ALENE, ID 83814
(208) 765-1254
(208) 765-1303
Mailing address
335 W APPLEWAY, COEUR D'ALENE, ID 83814
(208) 765-1254
(208) 765-1303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12795-40
WI
183500000X
Pharmacist
Primary
P5701
ID
183500000X
Pharmacist
PH00040548
WA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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