JASON EBRAHIMPOUR

CALDWELL, ID
NPI1013306968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P6484)
Enumeration Date2015-01-15
Last Update Date2015-01-15
Business Address
-- JASON EBRAHIMPOUR
425 N 10TH AVE
CALDWELL, ID 83605-3402
Phone number: 208-454-1111
Mailing Address
-- JASON EBRAHIMPOUR
425 N 10TH AVE
CALDWELL, ID 83605-3402
Phone number: 208-454-1111
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