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1295161750
KIM MCCLUNG
POCATELLO, ID
NPI
1295161750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P4788)
Enumeration Date
2013-09-16
Last Update Date
2014-01-16
Business Address
-- KIM MCCLUNG Rph
235 S 4TH AVE
POCATELLO, ID 83201-6438
Phone number: 208-233-3341
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Mailing Address
-- KIM MCCLUNG Rph
14516 W LACEY RD
POCATELLO, ID 83202-5017
Phone number: 208-241-8785
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