Fred M Ott RPH

NPI 1043509631 - Pharmacist - 183500000X

NPI Details
NPI 1043509631
Gender Male
Enumeration Date 04/04/2011
Last Updated 04/04/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5425 W CHINDEN BLVD
GARDEN CITY ID, 83714-1468, US
Phone (208) 323-7036
Fax
Business Location
10789 W DASON CT
BOISE ID, 83713-1850, US
Phone (208) 375-1486
Fax
Toxanomy
Taxonomy Code 183500000X
License State Idaho
License Number CS2026
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According to our database, Fred M Ott RPH NPI is 1043509631, taxonomy code is 183500000X and license number is CS2026, license state is located at Idaho. Fred M Ott RPH physically located at 5425 W Chinden Blvd, Garden City ID, 83714-1468. NPI Number Fred M Ott RPH has the Individual type.

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1043509631 NPI number is provided on an as is basis without warranty of any kind. 1043509631 is maintained by the National Plan & Provider Enumeration System. The contents of Fred M Ott RPH are for informational purposes only.