Dale Fayle-Endo, R.PH.

NPI #1962694257 in Chubbuck, Idaho

Provider Information

NPI Number: 1962694257
Entity Type: Individual
Name: Dale Fayle-Endo, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 10, 2007
Last Updated: Aug 10, 2007

Practice Location

Address: 4257 YELLOWSTONE AVE
City: Chubbuck
State: Idaho
ZIP Code: 83202-2419
Phone: (208) 237-3940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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