ERIK BERGSTROM

REXBURG, ID
NPI1073897260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P6274)
Enumeration Date2011-10-05
Last Update Date2011-10-05
Business Address
Dr. ERIK BERGSTROM Pharm D
164 E MAIN ST
REXBURG, ID 83440-1912
Phone number: 208-227-5076
Mailing Address
Dr. ERIK BERGSTROM Pharm D
745 JOHNSON ST
REXBURG, ID 83440-2639
Phone number:
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