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Individual

MR. DAN TROY BOWLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
306 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4827
(208) 734-4053
(208) 734-4295
Mailing address
306 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4827
(208) 734-4053
(208) 734-4295

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6604
ID

Other

Enumeration date
12/26/2011
Last updated
12/26/2011
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