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1326101015
EDITH A DVORAK
POCATELLO, ID
NPI
1326101015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P4603)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
EDITH A DVORAK PHARMD, R.PH.
435 E BONNEVILLE
POCATELLO, ID 83201
Phone number: 208-233-3466
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Mailing Address
EDITH A DVORAK PHARMD, R.PH.
408 POLK STREET
AMERICAN FALLS, ID 83211
Phone number: 208-251-1665
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