Individual
CLIFFORD BOYD BELLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
281 STELLAR JAY RD, BONNERS FERRY, ID 83805-5658
(208) 290-1384
Mailing address
281 STELLAR JAY RD, BONNERS FERRY, ID 83805-5658
(208) 290-1384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
CS9980
ID
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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