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1639570302
BRECON POWELL
IDAHO FALLS, ID
NPI
1639570302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P7084)
Enumeration Date
2014-09-11
Last Update Date
2014-09-11
Business Address
-- BRECON POWELL PharmD
2460 PROSPECT DR
IDAHO FALLS, ID 83401-5078
Phone number: 307-248-1627
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Mailing Address
-- BRECON POWELL PharmD
2460 PROSPECT DR
IDAHO FALLS, ID 83401-5078
Phone number: 307-248-1627
Copy
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