Individual
DR. BENJAMIN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1520 N COLE RD, BOISE, ID 83704-8563
(208) 375-8278
Mailing address
1520 N COLE RD, BOISE, ID 83704-8563
(208) 375-8278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7586
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P7586
PHARMACIST LICENSE
ID
Enumeration date
02/13/2017
Last updated
02/13/2017
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