Individual
ADAM SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
177 W WOODHAVEN LN, IDAHO FALLS, ID 83404-8429
(208) 604-2057
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6513
ID
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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