Organization
FLUSHOT4YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BENNION (PRESIDENT)
(208) 378-4584
Entity
Organization
Contact information
Practice address
3499 E FAIRVIEW AVE, MERIDIAN, ID 83642-5848
(208) 378-4584
Mailing address
PO BOX 44413, BOISE, ID 83711-0413
(208) 378-4584
(208) 376-3831
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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