ROGER PAUL MANGUM

COEUR D ALENE, ID
NPI1437434784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P3920)
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
-- ROGER PAUL MANGUM Rph
335 W APPLEWAY AVE
COEUR D ALENE, ID 83814-9306
Phone number: 208-765-1254
Mailing Address
-- ROGER PAUL MANGUM Rph
335 W APPLEWAY AVE
COEUR D ALENE, ID 83814-9306
Phone number: 208-765-1254
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