Individual
JOSEPH DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8455 W EMERALD ST, BOISE, ID 83704-8306
(208) 323-0067
Mailing address
10049 MALLARD DR, NAMPA, ID 83686-9183
(208) 910-9220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9569
ID
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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