David Lyn Harrison

NPI #1003112053 in Boise, Idaho

Provider Information

NPI Number: 1003112053
Entity Type: Individual
Name: David Lyn Harrison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 8, 2011
Last Updated: Feb 8, 2011

Practice Location

Address: 9196 W EMERALD ST
Address 2: SUITE 110
City: Boise
State: Idaho
ZIP Code: 83704-0679
Phone: (208) 323-1259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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