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1295101400
ALEX WALD
EAGLE, ID
NPI
1295101400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID CS39582)
Enumeration Date
2015-08-12
Last Update Date
2023-07-19
Business Address
ALEX WALD
149 W STATE ST STE 101
EAGLE, ID 83616-4911
Phone number: 208-939-8008
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Mailing Address
ALEX WALD
149 W STATE ST STE 101
EAGLE, ID 83616-4911
Phone number: 208-939-8008
Copy
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