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1417288242
TRACY BECKER
POCATELLO, ID
NPI
1417288242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5679)
Enumeration Date
2010-01-19
Last Update Date
2010-01-19
Business Address
-- TRACY BECKER Pharm.D.
235 S 4TH AVE
POCATELLO, ID 83201-6438
Phone number: 208-233-3341
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Mailing Address
-- TRACY BECKER Pharm.D.
CAMPUS BOX 8493 IDAHO STATE UNIVERSITY
POCATELLO, ID 83209
Phone number: 208-234-7598
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