William Pirate Madsen, RPH

NPI #1033309935 in Ammon, Idaho

Provider Information

NPI Number: 1033309935
Entity Type: Individual
Name: William Pirate Madsen, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 26, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 3475 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6781
Phone: (208) 227-5083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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