PAUL ALTON BLACK

BOISE, ID
NPI1174515399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: ID  P5371)
Enumeration Date2005-08-16
Last Update Date2007-07-08
Business Address
Dr. PAUL ALTON BLACK PHARM.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
Dr. PAUL ALTON BLACK PHARM.D.
1931 E DWORSHAK DR
MERIDIAN, ID 83642-6779
Phone number: 208-888-7275
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