Otto, Paul W.

Otto, Paul W. is an individual health care provider with primary practice located at 444 Hospital Way Ste 801, Pocatello ID 83201-2792. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Otto, Paul W. can be contacted via phone (208) 232-6214.

Contact Information

Primary practice address
444 Hospital Way Ste 801 Pocatello ID 83201-2792
Phone: (208) 232-6214
Fax: (208) 233-3416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5603 Idaho

Profile Details

NPI number 1407850399
LBN Legal business name Otto, Paul W.
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jul 8th, 2007 - about 19 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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