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1104315225
GRAYSON NORMAN SCHENK
NAMPA, ID
NPI
1104315225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P6641)
Additional Taxonomies
183500000X Pharmacist
(Licence: NV 18143)
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
GRAYSON NORMAN SCHENK
2100 12TH AVE RD
NAMPA, ID 83686-6441
Phone number: 208-467-5159
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Mailing Address
GRAYSON NORMAN SCHENK
2832 W TENUTA ST
MERIDIAN, ID 83646-3230
Phone number: 208-201-1404
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