Dean A Wallentine, PHARM D.

NPI #1265425433 in Montpelier, Idaho

Provider Information

NPI Number
1265425433
Entity Type
Individual
Name
Dean A Wallentine, PHARM D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM D.
Enumeration Date
Aug 23, 2005
Last Updated
Apr 13, 2015

Practice Location

Address
836 WASHINGTON ST
State
Idaho
ZIP Code
83254-1423
Phone
(208) 847-1421

Specialties & Taxonomy Codes

Specialty
Pharmacist
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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