Wallentine, Dean A

Wallentine, Dean A is an sole proprietor health care provider with primary practice located at 836 Washington St , Montpelier ID 83254-1423. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Wallentine, Dean A can be contacted via phone (208) 847-1421.

Contact Information

Primary practice address
836 Washington St Montpelier ID 83254-1423
Phone: (208) 847-1421
Fax: (208) 847-1690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5441 Idaho
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P5441 Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X 1440CP Idaho

Profile Details

NPI number 1265425433
LBN Legal business name Wallentine, Dean A
Credentials PHARM D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Apr 13th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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