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Gary Mondell, RPH

NPI 1942580303 · on the registry since 2011 · sole proprietor

Practice

Address
1901 S 2500 E
Ammon, ID 83406
Phone
(208) 524-1616
Fax
(208) 528-6563
Organisation at this address
Albertsons Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
1835P0018X
Licence states on file
ID, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho