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Individual

BRIAN ORA MINASIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
118 S MIDLAND BLVD, NAMPA, ID 83686-2601
(208) 442-1000
(208) 442-1091
Mailing address
119 S VALLEY DR STE A, NAMPA, ID 83686-2985
(208) 442-1000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4957
ID

Other

Enumeration date
04/16/2012
Last updated
04/16/2012
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