| Bruce Spradlin, | |
|
212 Bonner Mall Way, Ponderay, ID 83852-9748 | |
| (208) 265-8066 | |
| (208) 263-6623 |
| Full Name | Bruce Spradlin |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 212 Bonner Mall Way, Ponderay, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811398936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | P5267 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Spradlin, 212 Bonner Mall Way, Ponderay, ID 83852-9748 Ph: (208) 265-8066 | Bruce Spradlin, 212 Bonner Mall Way, Ponderay, ID 83852-9748 Ph: (208) 265-8066 |
Bradley Owens, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-7101 | |
Vern Stairs, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 476999 Us-95, Walmart Supercenter, Ponderay, ID 83852 Phone: 208-265-4490 | |
Mrs. Kimberly Dawn Puckett, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 212 Bonner Mall Way, Ponderay, ID 83852 Phone: 208-255-8066 Fax: 208-263-6623 | |
Dr. Daniel Schauwecker, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 476999 Highway 95, Ponderay, ID 83852 Phone: 208-265-4490 | |
Amy Mcgrath, PHARMACIST Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 476999 Highway 95, Ponderay, ID 83852 Phone: 208-265-4490 Fax: 208-265-0794 |