Individual
MIKE HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5875 E FRANKLIN RD, NAMPA, ID 83687-5020
(208) 461-8718
(208) 461-8720
Mailing address
5875 E FRANKLIN RD, NAMPA, ID 83687-5020
(208) 461-8718
(208) 461-8720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5607
ID
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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