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1073681458
LARA ANN NICHOLS
POCATELLO, ID
NPI
1073681458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID p5794)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Dr. LARA ANN NICHOLS Pharm.D.
990 S 8TH ST
POCATELLO, ID 83209-0001
Phone number: 208-282-3407
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Mailing Address
Dr. LARA ANN NICHOLS Pharm.D.
5180 PINYON DR
POCATELLO, ID 83204-5020
Phone number: 208-478-1196
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