Individual
DR. GARY RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1016 S LINCOLN AVE, JEROME, ID 83338-3048
(208) 324-2411
(208) 324-6531
Mailing address
1016 S LINCOLN AVE, JEROME, ID 83338-3048
(208) 324-2411
(208) 324-6531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5663
ID
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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