Individual
DR. STEPHEN PAUL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8105 W FAIRVIEW AVE, BOISE, ID 83704-8486
(208) 323-9297
(208) 327-0622
Mailing address
8105 W FAIRVIEW AVE, BOISE, ID 83704-8486
(208) 323-9297
(208) 327-0622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5619
ID
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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