Individual
GRIFFIN LOUTZENHISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-4700
Mailing address
166 1/2 WASHINGTON AVE, POCATELLO, ID 83201-4638
(720) 749-7940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8434
ID
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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