GARRET PORTELA

RIGBY, ID
NPI1912319799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0014200)
Enumeration Date2014-05-28
Last Update Date2016-08-31
Business Address
-- GARRET PORTELA
150 N STATE ST
RIGBY, ID 83442-1443
Phone number: 208-745-0267
Mailing Address
-- GARRET PORTELA
1547 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4284
Phone number: 208-351-7284