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1134483845
KAREN D LODGE
BOISE, ID
NPI
1134483845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5386)
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
-- KAREN D LODGE RPh
5211 S FARMHOUSE PL
BOISE, ID 83716
Phone number: 208-724-9338
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Mailing Address
-- KAREN D LODGE RPh
5211 S FARMHOUSE PL
BOISE, ID 83716-9014
Phone number: 208-724-9338
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