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1598784217
ROD THAD TUCKER
AMERICAN FALLS, ID
NPI
1598784217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P4009)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- ROD THAD TUCKER RPH
524 TYHEE AVE
AMERICAN FALLS, ID 83211-1224
Phone number: 208-226-2411
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Mailing Address
-- ROD THAD TUCKER RPH
3136 WILLOW ST
AMERICAN FALLS, ID 83211-5520
Phone number: 208-226-2411
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