Larry D Meyer RPH

NPI 1083628424 - Pharmacist - 183500000X

NPI Details
NPI 1083628424
Gender Male
Enumeration Date 07/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
500 W FORT ST
BOISE ID, 83702-4501, US
Phone (208) 422-7600
Fax (208) 422-1198
Business Location
4244 N LA FONTANA WAY
BOISE ID, 83702-1561, US
Phone (208) 422-1166
Fax (208) 422-1198
Toxanomy
Taxonomy Code 183500000X
License State Idaho
License Number P4527
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According to our database, Larry D Meyer RPH NPI is 1083628424, taxonomy code is 183500000X and license number is P4527, license state is located at Idaho. Larry D Meyer RPH physically located at 500 W Fort St, Boise ID, 83702-4501. NPI Number Larry D Meyer RPH has the Individual type.

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1083628424 NPI number is provided on an as is basis without warranty of any kind. 1083628424 is maintained by the National Plan & Provider Enumeration System. The contents of Larry D Meyer RPH are for informational purposes only.