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Individual

JEFF BUFFINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3475 E 17TH ST, AMMON, ID 83406-6781
(208) 608-2976
Mailing address
5177 CANTERBURY ST, CHUBBUCK, ID 83202-5065
(208) 608-2976

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8064
ID

Other

Enumeration date
07/16/2018
Last updated
11/15/2021
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