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NPI Code Detail

MEDICARE: MR. JOHN E LETTER III RPH

MEDICARE: MR. JOHN E LETTER III RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistP5227ID

General Provider Information

NPI Number : 1285035113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN E LETTER III RPH
Provider Business Mailing Address
First Line : 5108 CLEVELAND BLVD
Second Line :
City : CALDWELL
State : ID
Zip : 83607-8002
Country : US
Telephone Number : 208-455-0800
Fax Number :
Provider Business Practice Location Address
First Line : 5108 CLEVELAND BLVD
Second Line :
City : CALDWELL
State : ID
Zip : 83607-8002
Country : US
Telephone Number : 208-455-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2014
Last Update Date : 09/10/2014

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Directions to “ MR. JOHN E LETTER III RPH” Practice Location

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