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1407850399
PAUL W. OTTO
POCATELLO, ID
NPI
1407850399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5603)
Enumeration Date
2005-06-08
Last Update Date
2007-07-08
Business Address
Dr. PAUL W. OTTO Pharm.D.
444 HOSPITAL WAY STE 801
POCATELLO, ID 83201-2792
Phone number: 208-232-6214
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Mailing Address
Dr. PAUL W. OTTO Pharm.D.
4582 W PORTNEUF RD
INKOM, ID 83245-1626
Phone number: 208-775-3262
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