Individual
THOMAS JOSEPH STATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 CALDWELL BLVD, NAMPA, ID 83651-1510
(208) 466-9616
(208) 463-1724
Mailing address
2100 CALDWELL BLVD, NAMPA, ID 83651-1510
(208) 466-9616
(208) 463-1724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4647
ID
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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