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1215943501
TIMOTHY J SANTOS
BOISE, ID
NPI
1215943501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P4727)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- TIMOTHY J SANTOS RPH
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1353
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Mailing Address
-- TIMOTHY J SANTOS RPH
2594 E SALISBURY CT
EAGLE, ID 83616-6641
Phone number:
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