Individual
MR. ALAN DAVID PANNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY INTERN
Contact information
Practice address
4845 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2333
(208) 237-3900
(208) 237-4955
Mailing address
4845 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2333
(208) 237-3900
(208) 237-4955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E3849
ID
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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