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1659116473
MARCOS ANTONIO CERVANTES
BOISE, ID
NPI
1659116473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: ID I75846)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
MARCOS ANTONIO CERVANTES PharmD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
MARCOS ANTONIO CERVANTES PharmD
5131 N LANCER AVE
BOISE, ID 83713-1455
Phone number: 208-863-6815
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