JASON DAVID DALLING

MERIDIAN, ID
NPI1730334830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P5997)
Enumeration Date2008-11-18
Last Update Date2009-01-01
Business Address
-- JASON DAVID DALLING PharmD
1600 N MAIN ST
MERIDIAN, ID 83642-1709
Phone number: 208-888-7311
Mailing Address
-- JASON DAVID DALLING PharmD
11709 W ROCKHAMPTON ST
BOISE, ID 83709-4478
Phone number: 208-377-3707