NPI 1013358076

Spencer a Graham, PHARMD

Practitioner Pharmacist Nampa, ID

Practice location

Address: 2219 12th Ave Rd, Nampa, ID 83686-6313
Phone: (208) 318-0536
Fax: (208) 318-0542

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P6834 (ID)

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Registry record

NPI: 1013358076
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2013
Record last updated: 8 Dec 2014

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.