Individual
LARRY DUANE CALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 W FAIRVIEW AVE, BOISE, ID 83704-8425
(208) 375-2825
(208) 375-2846
Mailing address
16685 ROSE BRIAR LN, NAMPA, ID 83687-8446
(208) 465-4283
(208) 463-4283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P3988
ID
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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