Individual
JOHN SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7319 W STATE ST, BOISE, ID 83714-6051
(208) 853-4780
(208) 853-4782
Mailing address
7319 W STATE ST, BOISE, ID 83714-6051
(208) 853-4780
(208) 853-4782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5070
ID
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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