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1285068809
CHRISTOPHER ADAM MECKLENBURG
LEWISTON, ID
NPI
1285068809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P6870)
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
CHRISTOPHER ADAM MECKLENBURG PHARMD
1904 19TH AVE
LEWISTON, ID 83501-4069
Phone number: 208-743-9127
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Mailing Address
CHRISTOPHER ADAM MECKLENBURG PHARMD
3137 CHERRY TREE CIRCLE
LEWISTON, ID 83501
Phone number: 208-743-9127
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