Christopher Adam Mecklenburg, PHARMD

NPI #1285068809 in Lewiston, Idaho

Provider Information

NPI Number: 1285068809
Entity Type: Individual
Name: Christopher Adam Mecklenburg, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 30, 2013
Last Updated: Aug 30, 2013

Practice Location

Address: 1904 19TH AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-4069
Phone: (208) 743-9127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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