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1548556772
ALAN MAXWELL
BURLEY, ID
NPI
1548556772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P3936)
Enumeration Date
2011-06-27
Last Update Date
2011-06-27
Business Address
ALAN MAXWELL RPH
937 E MAIN ST
BURLEY, ID 83318-2035
Phone number: 208-678-3286
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Mailing Address
ALAN MAXWELL RPH
937 E MAIN ST
BURLEY, ID 83318-2035
Phone number: 208-678-3286
Copy
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