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1700260031
ERIK CHARLES PONCE
BOISE, ID
NPI
1700260031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P7323)
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
Dr. ERIK CHARLES PONCE PharmD
3614 W STATE ST
BOISE, ID 83703-5218
Phone number: 208-426-9639
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Mailing Address
Dr. ERIK CHARLES PONCE PharmD
524 E 52ND ST
GARDEN CITY, ID 83714-1447
Phone number: 208-520-1429
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