Individual
JONATHAN KWOK-BONG LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
315 E ELM ST, CALDWELL, ID 83605-4857
(208) 340-5343
Mailing address
315 E ELM ST, CALDWELL, ID 83605-4857
(208) 340-5343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8886
ID
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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