Individual
ROBERT THEODORE WHITEMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3150 W CHERRY LN, MERIDIAN, ID 83642-1122
(208) 319-2312
Mailing address
2118 NEZ PERCE ST, BOISE, ID 83705-3134
(208) 305-1639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6658
ID
183500000X
Pharmacist
PH60281186
WA
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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