MR. James Russell Wanek, RPH

NPI #1215325311 in Sandpoint, Idaho

Provider Information

NPI Number
1215325311
Entity Type
Individual
Name
MR. James Russell Wanek, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Dec 26, 2014
Last Updated
Dec 26, 2014

Practice Location

Address
1319 HIGHWAY 2
Address 2
SUITE A
State
Idaho
ZIP Code
83864-2711
Phone
(208) 263-9080

Specialties & Taxonomy Codes

Specialty
Pharmacist

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