Blaine L Wilding, PHARMD

NPI #1942579404 in Shelley, Idaho

Provider Information

NPI Number: 1942579404
Entity Type: Individual
Name: Blaine L Wilding, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 29, 2011
Last Updated: Dec 29, 2011

Practice Location

Address: 570 S STATE ST
City: Shelley
State: Idaho
ZIP Code: 83274-1470
Phone: (208) 357-0473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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