Individual
CHAD GUY JUNGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
146 W MAIN ST, GRANGEVILLE, ID 83530-1932
(208) 983-1090
Mailing address
146 W MAIN ST, GRANGEVILLE, ID 83530-1932
(208) 983-1090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
332B00000X
ID
Other
Enumeration date
05/23/2006
Last updated
12/15/2007
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