Individual
DR. VINMANATHAN NAIDOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1650 W STATE ST, BOISE, ID 83702-4040
(208) 344-8669
(208) 343-1343
Mailing address
1650 W STATE ST, BOISE, ID 83702-4040
(208) 344-8669
(208) 343-1343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5858
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0011519
OR
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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