Graham, Spencer A

Graham, Spencer A is an individual health care provider with primary practice located at 2219 12Th Ave Rd , Nampa ID 83686-6313. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Graham, Spencer A can be contacted via phone (208) 318-0536.

Contact Information

Primary practice address
2219 12Th Ave Rd Nampa ID 83686-6313
Phone: (208) 318-0536
Fax: (208) 318-0542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P6834 Idaho

Profile Details

NPI number 1013358076
LBN Legal business name Graham, Spencer A
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2013
Last updated Dec 8th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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