Individual
DR. BRANDON KEITH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
419 BOADWAY AVE S, BUHL, ID 83316
(208) 543-5353
(208) 543-2202
Mailing address
419 BOADWAY AVE S, BUHL, ID 83316
(208) 543-5353
(208) 543-2202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6179
ID
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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