NPI 1003112053

David Lyn Harrison

Practitioner Pharmacist Boise, ID

Practice location

Address: 9196 W Emerald St Suite 110, Boise, ID 83704-0679
Phone: (208) 323-1259
Fax: (208) 323-5666

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P5023 (ID)

Other Pharmacist providers in Idaho →

Registry record

NPI: 1003112053
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2011
Record last updated: 8 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.