Alex Wald

NPI #1295101400 in Eagle, Idaho

Provider Information

NPI Number: 1295101400
Entity Type: Individual
Name: Alex Wald
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 12, 2015
Last Updated: Jul 19, 2023

Practice Location

Address: 149 W STATE ST STE 101
City: Eagle
State: Idaho
ZIP Code: 83616-4911
Phone: (208) 939-8008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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