John Willis

NPI #1619393493 in Bonners Ferry, Idaho

Provider Information

NPI Number: 1619393493
Entity Type: Individual
Name: John Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 17, 2014
Last Updated: May 25, 2022

Practice Location

Address: 6452 MAIN ST
City: Bonners Ferry
State: Idaho
ZIP Code: 83805-8520
Phone: (208) 267-4021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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