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1023504651
AMANDA WRAY
BLACKFOOT, ID
NPI
1023504651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P7045)
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
AMANDA WRAY RPh
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-2990
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Mailing Address
AMANDA WRAY RPh
1585 KATES WAY
POCATELLO, ID 83204-4606
Phone number: 208-604-6660
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