BRANDON DEAN POWELL

BOISE, ID
NPI1760162218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P10779)
Enumeration Date2023-07-19
Last Update Date2023-07-19
Business Address
BRANDON DEAN POWELL
1100 S VISTA AVE
BOISE, ID 83705-2429
Phone number: 208-344-2529
Mailing Address
BRANDON DEAN POWELL
11492 S CAMDEN RD
DRAPER, UT 84020-9049
Phone number: 801-897-9253