Individual
PAUL MICHAEL BODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
90 HOPE DR BLDG 6000, PHARMACY, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7521
Mailing address
90 HOPE DR BLDG 6000, PHARMACY, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5127
ID
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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