Individual
LEO FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHAMD
Contact information
Practice address
10600 FAIRVIEW AVE, BOISE, ID 83713-8065
(208) 322-0962
Mailing address
10600 FAIRVIEW AVE, BOISE, ID 83713-8065
(208) 322-0962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6316
ID
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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