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1679963227
MICHELLE MISKO
IDAHO FALLS, ID
NPI
1679963227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P7211)
Enumeration Date
2015-02-03
Last Update Date
2019-05-03
Business Address
MICHELLE MISKO PHARMD
1855 W BROADWAY ST
IDAHO FALLS, ID 83402-3043
Phone number: 208-529-3638
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Mailing Address
MICHELLE MISKO PHARMD
3945 POLE LINE RD
POCATELLO, ID 83201-5425
Phone number: 208-237-5501
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