SAMUEL WEATHERSPOON

MERIDIAN, ID
NPI1679974042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P7096)
Enumeration Date2014-09-04
Last Update Date2014-09-04
Business Address
-- SAMUEL WEATHERSPOON
795 W OVERLAND RD
MERIDIAN, ID 83642-6556
Phone number: 208-917-6902
Mailing Address
-- SAMUEL WEATHERSPOON
484 W PECK ST
MERIDIAN, ID 83646-5918
Phone number:
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