Spencer Louis Dietz, PHARMD, RPH

NPI #1073079281 in Ammon, Idaho

Provider Information

NPI Number: 1073079281
Entity Type: Individual
Name: Spencer Louis Dietz, PHARMD, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, RPH
Enumeration Date: Feb 12, 2019
Last Updated: Feb 12, 2019

Practice Location

Address: 3250 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6758
Phone: (208) 552-7677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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