Individual
DALLIN JON TORONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 12TH AVE RD, NAMPA, ID 83686-6300
(208) 463-2903
Mailing address
682 W CRITERION ST, MERIDIAN, ID 83642-2163
(937) 956-2213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10331
ID
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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