Individual
NICHOLAS JORDAN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2512
(208) 514-2513
Mailing address
5926 S LOWLAND VIEW WAY, BOISE, ID 83709-6260
(208) 369-0985
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
P7790
ID
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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