Individual
DR. JESSE DARRYL OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
530 N 2ND E, REXBURG, ID 83440-3566
(208) 359-2814
(208) 359-2816
Mailing address
530 N 2ND E, REXBURG, ID 83440-3566
(208) 359-2814
(208) 359-2816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6068
ID
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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