Individual
MITCHELL TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
622 E. USTICK ROAD, CALDWELL, ID 83646
(208) 454-5640
Mailing address
11674 W GRANGER ST, BOISE, ID 83713-5147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7549
ID
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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