MORGAN WADE MITCHELL

NAMPA, ID
NPI1992080154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WY  2217)
Additional Taxonomies183500000X Pharmacist
(Licence: ID  P4697)
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
-- MORGAN WADE MITCHELL RPh
2219 12TH AVE RD
NAMPA, ID 83686-6313
Phone number: 208-318-0536
Mailing Address
-- MORGAN WADE MITCHELL RPh
3430 PORTLAND AVE
NAMPA, ID 83686-8576
Phone number: 208-465-5911
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