BLAKE J BUFFAT

CHUBBUCK, ID
NPI1861836462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P6419)
Enumeration Date2013-04-25
Last Update Date2013-04-25
Business Address
-- BLAKE J BUFFAT PharmD.
550 VERN ST
CHUBBUCK, ID 83202-1627
Phone number: 208-241-2475
Mailing Address
-- BLAKE J BUFFAT PharmD.
550 VERN ST
CHUBBUCK, ID 83202-1627
Phone number: 208-241-2475
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