Individual
RYAN THUESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 SE GOODFELLOW ST, ONTARIO, OR 97914-3016
(541) 889-6288
Mailing address
1055 S TWIN LAKES AVE, MIDDLETON, ID 83644-5137
(208) 488-2288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P7698
ID
183500000X
Pharmacist
Primary
RPH-0015809
OR
Other
Enumeration date
05/24/2016
Last updated
02/08/2017
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