Individual
DR. CHAD DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
407 12TH AVE RD, NAMPA, ID 83686-5016
(208) 467-3913
Mailing address
407 12TH AVE RD, NAMPA, ID 83686-5016
(208) 467-3913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6515
ID
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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