GRAYSON NORMAN SCHENK

NAMPA, ID
NPI1104315225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P6641)
Additional Taxonomies183500000X Pharmacist
(Licence: NV  18143)
Enumeration Date2018-05-03
Last Update Date2018-05-03
Business Address
GRAYSON NORMAN SCHENK
2100 12TH AVE RD
NAMPA, ID 83686-6441
Phone number: 208-467-5159
Mailing Address
GRAYSON NORMAN SCHENK
2832 W TENUTA ST
MERIDIAN, ID 83646-3230
Phone number: 208-201-1404