Individual
CORY W WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
P7564
ID
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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