Individual
DR. RAYMOND HENRY RENOUF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 S 8TH ST STE 2, ASHTON, ID 83420-5211
(208) 652-3932
(208) 652-3470
Mailing address
1599 GRANDVIEW LN, ASHTON, ID 83420-5113
(208) 840-0548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7296
ID
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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