Dr. Paul Charles Villaret, PharmD
Pharmacist in Eagle, ID. Individual provider (NPI-1).
NPI number1437795259
StatusActive
Last updated in NPPESNov 27, 2019
Details
- NPI
- 1437795259
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Charles Villaret
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2019
- Last updated
- Nov 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 6336 | ID | Yes |
Practice location
1855 N Groveland PlEagle, ID 83616-4275
Phone 702-335-2626
Mailing address
1855 N Groveland PlEagle, ID 83616-4275
Phone 702-335-2626
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