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1518151018
BRAD BERRY
IDAHO FALLS, ID
NPI
1518151018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5358)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
Dr. BRAD BERRY PHARM.D.
1790 DEER VALLEY DR
IDAHO FALLS, ID 83401-6800
Phone number: 208-520-0088
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Mailing Address
Dr. BRAD BERRY PHARM.D.
535 E 17TH ST
IDAHO FALLS, ID 83404-6154
Phone number: 208-542-4569
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