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Individual

PHU M DOAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1625 S MERIDIAN RD, MERIDIAN, ID 83642-9355
(208) 319-0600
(208) 319-0606
Mailing address
12340 W PALM DR, BOISE, ID 83713-5822
(208) 761-3538

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7161871
ID

Other

Enumeration date
08/26/2024
Last updated
08/26/2024
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