ALAN DAVID PANNIER

CHUBBUCK, ID
NPI1568757417
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  E3849)
Enumeration Date2011-06-17
Last Update Date2011-06-17
Business Address
Mr. ALAN DAVID PANNIER Pharmacy Intern
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202-2333
Phone number: 208-237-3900
Mailing Address
Mr. ALAN DAVID PANNIER Pharmacy Intern
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202-2333
Phone number: 208-237-3900