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Individual

MICHAEL HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1650 W STATE ST, BOISE, ID 83702-4040
(208) 344-8660
Mailing address
1617 S RIVERSTONE LN APT 301, BOISE, ID 83706-4088
(920) 366-4293

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8492
ID

Other

Enumeration date
08/02/2019
Last updated
08/02/2019
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