Individual
MR. GORDON WILLIAM WAYNE MILFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3249 E DOWLING MILL CT, BOISE, ID 83706-5796
(208) 949-3139
Mailing address
3249 E DOWLING MILL CT, BOISE, ID 83706-5796
(208) 949-3139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4634
ID
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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