Individual
MR. JOEL REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
203 S DAISY, SALMON, ID 83467-0700
(208) 756-5675
(208) 756-5757
Mailing address
PO BOX 700, SALMON, ID 83467-0700
(208) 756-5675
(208) 756-5757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5314
ID
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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