WAYNE KEITH AUSTIN

NAMPA, ID
NPI1447535349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MT  3586)
Additional Taxonomies183500000X Pharmacist
(Licence: ID  P5472)
Enumeration Date2011-10-12
Last Update Date2011-10-12
Business Address
Mr. WAYNE KEITH AUSTIN RPh
700 12TH AVE S
NAMPA, ID 83651-4255
Phone number: 208-467-1560
Mailing Address
Mr. WAYNE KEITH AUSTIN RPh
700 12TH AVE S
NAMPA, ID 83651-4255
Phone number: 208-467-1560
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