STACY SHORT

IDAHO FALLS, ID
NPI1043701931
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P7990)
Enumeration Date2018-05-25
Last Update Date2018-05-25
Business Address
Dr. STACY SHORT PharmD
380 SPYGLASS CIR
IDAHO FALLS, ID 83401-6334
Phone number: 208-552-0638
Mailing Address
Dr. STACY SHORT PharmD
380 SPYGLASS CIR
IDAHO FALLS, ID 83401-6334
Phone number: 208-552-0638
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