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Individual

RICHARD RAY ROYLANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
700 E AVALON ST, KUNA, ID 83634-2140
(208) 922-9836
Mailing address
700 E AVALON ST, KUNA, ID 83634-2140
(208) 996-1513

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
10098703-1701
UT
183500000X
Pharmacist
Primary
P10205
ID

Other

Enumeration date
08/08/2022
Last updated
11/27/2024
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