Bret Ray Walters Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1932749801
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P5108 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-01-08
- Last updated
- 2020-01-08
Practice location
801 Pole Line Rd W
Twin Falls, ID 83301-5810
(208) 814-2500