Wallentine, Dean A PHARM D.
836 Washington St
Montpelier, ID 83254
208-847-1421
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ID | P5441 |
N | 3336C0003X | Suppliers - Pharmacy | ID | 1440CP |
Y | 183500000X | Pharmacy Service Providers - Pharmacist | ID | P5441 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|