Individual
DAMON COLE DEJULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1545 E 6TH ST, WEISER, ID 83672-1495
(208) 549-8777
Mailing address
1545 E 6TH ST, WEISER, ID 83672-1495
(208) 549-8777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7611
ID
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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