Individual
JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2809 E CALDWELL BLVD, CALDWELL, ID 83605
(208) 455-1094
Mailing address
57 5TH ST N, NAMPA, ID 83687-3482
(505) 933-2793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8425
ID
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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