ALEX JAMES LYSTRUP

POCATELLO, ID
NPI1124670831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: ID  P8065)
Enumeration Date2019-07-12
Last Update Date2019-07-12
Business Address
ALEX JAMES LYSTRUP PharmD
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-4700
Mailing Address
ALEX JAMES LYSTRUP PharmD
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number:
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