BERKELEY FRASER

BOISE, ID
NPI1568761112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P5067)
Additional Taxonomies183500000X Pharmacist
(Licence: OR  8121)
Enumeration Date2011-03-22
Last Update Date2011-03-22
Business Address
-- BERKELEY FRASER RPH
3527 S FEDERAL WAY SUITE 104
BOISE, ID 83705
Phone number: 208-424-7588
Mailing Address
-- BERKELEY FRASER RPH
2757 S GOSHEN WAY
BOISE, ID 83709-8506
Phone number:
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