Individual
MR. ALLEN ORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1114 W IRONWOOD DR, COEUR D ALENE, ID 83814-2605
(208) 666-2502
(208) 667-5921
Mailing address
1114 W IRONWOOD DR, COEUR D ALENE, ID 83814-2605
(208) 666-2502
(208) 667-5921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5521
ID
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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