-- FRED M OTT -- RPh
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1043509631- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RPh
- Status
- Active
Contact & Location
- Address
- 5425 W CHINDEN BLVD, GARDEN CITY, ID, 837141468
- Phone
- (208) 323-7036
Specialties & Taxonomies
Pharmacist
Primary License: ID #P4096
Pharmacist
License: ID #CS2026