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1619239860
MICHAEL GARDNER
MERIDIAN, ID
NPI
1619239860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P4267)
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
-- MICHAEL GARDNER RPh
1680 E HANDEL ST
MERIDIAN, ID 83646-4708
Phone number: 208-895-8216
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Mailing Address
-- MICHAEL GARDNER RPh
1680 E HANDEL ST
MERIDIAN, ID 83646-4708
Phone number: 208-895-8216
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