Individual
ROBERT GRAY BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
89 W 2ND S, SODA SPRINGS, ID 83276-1509
(208) 547-3300
(208) 547-3532
Mailing address
89 W 2ND S, SODA SPRINGS, ID 83276-1509
(208) 547-3300
(208) 547-3532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7647
ID
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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