TY W. SWENSEN

SHELLEY, ID
NPI1710075635
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P5187)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
Dr. TY W. SWENSEN Pharm.D.
965 OCTOBER CV
SHELLEY, ID 83274-5069
Phone number: 208-357-5205
Mailing Address
Dr. TY W. SWENSEN Pharm.D.
965 OCTOBER CV
SHELLEY, ID 83274-5069
Phone number: 208-357-5205
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