Andrea Dwinell Coulam
Pharmacy in Boise, ID

License number
Utah 152323-8911
Issued Date
Jun 25, 1991
Expiration Date
Sep 30, 2007
Category
Pharmacy
Type
Pharmacist Controlled Substance
Address
Address
Boise, ID
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

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