TRAVIS WALTHALL

KUNA, ID
NPI1144566894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P5435)
Enumeration Date2012-12-28
Last Update Date2012-12-28
Business Address
-- TRAVIS WALTHALL RPh
173 W 4TH ST
KUNA, ID 83634-2046
Phone number: 208-922-4400
Mailing Address
-- TRAVIS WALTHALL RPh
173 W 4TH ST PO BOX 246
KUNA, ID 83634-2046
Phone number: 208-922-4400
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