BLAINE L WILDING

SHELLEY, ID
NPI1942579404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P4789)
Enumeration Date2011-12-29
Last Update Date2011-12-29
Business Address
BLAINE L WILDING PHARMD
570 S STATE ST
SHELLEY, ID 83274-1470
Phone number: 208-357-0473
Mailing Address
BLAINE L WILDING PHARMD
570 S STATE ST
SHELLEY, ID 83274-1470
Phone number: 208-357-0473
Similar providers in Shelley, ID
DANIEL SCHAUWECKER
TY W. SWENSEN
TIMOTHY ELRAY ALLEN
NATHAN BOLANDER