TERRY LEUENHAGEN

MERIDIAN, ID
NPI1437482122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P6290)
Enumeration Date2009-09-12
Last Update Date2012-12-21
Business Address
-- TERRY LEUENHAGEN PharmD
1400 W CHINDEN BLVD
MERIDIAN, ID 83646-5328
Phone number: 208-893-6033
Mailing Address
-- TERRY LEUENHAGEN PharmD
887 E SAN PEDRO ST
MERIDIAN, ID 83646-5650
Phone number:
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