ERIK CHARLES PONCE

BOISE, ID
NPI1700260031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P7323)
Enumeration Date2015-07-16
Last Update Date2015-07-16
Business Address
Dr. ERIK CHARLES PONCE PharmD
3614 W STATE ST
BOISE, ID 83703-5218
Phone number: 208-426-9639
Mailing Address
Dr. ERIK CHARLES PONCE PharmD
524 E 52ND ST
GARDEN CITY, ID 83714-1447
Phone number: 208-520-1429