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1033329248
TRAVIS ANTHONY PARK
COEUR D ALENE, ID
NPI
1033329248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P6016)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Dr. TRAVIS ANTHONY PARK PharmD.
2003 LINCOLN WAY
COEUR D ALENE, ID 83814-2611
Phone number: 208-666-3032
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Mailing Address
Dr. TRAVIS ANTHONY PARK PharmD.
3316 E PINE HILL DR
COEUR D ALENE, ID 83815-6618
Phone number: 208-169-3128
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