Individual
DR. ERIK CHARLES PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3614 W STATE ST, BOISE, ID 83703-5218
(208) 426-9639
(208) 429-9113
Mailing address
524 E 52ND ST, GARDEN CITY, ID 83714-1447
(208) 520-1429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7323
ID
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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