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1083628424
LARRY D MEYER
BOISE, ID
NPI
1083628424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID p4527)
Enumeration Date
2006-07-29
Last Update Date
2007-07-08
Business Address
-- LARRY D MEYER rph
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-7600
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Mailing Address
-- LARRY D MEYER rph
4244 N LA FONTANA WAY
BOISE, ID 83702-1561
Phone number: 208-422-1166
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