Park, Travis Anthony
Park, Travis Anthony is an individual health care provider with primary practice located at 2003 Lincoln Way , Coeur D Alene ID 83814-2611. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Park, Travis Anthony can be contacted via phone (208) 666-3032.Contact Information
Primary practice address
2003 Lincoln Way
Coeur D Alene ID 83814-2611
Phone: (208) 666-3032
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P6016 | Idaho |
Profile Details
| NPI number | 1033329248 |
|---|---|
| LBN Legal business name | Park, Travis Anthony |
| Credentials | PHARMD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| 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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