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1689027179
PHILIP ANDERSON
AMERICAN FALLS, ID
NPI
1689027179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P7578)
Enumeration Date
2016-07-19
Last Update Date
2019-09-09
Business Address
PHILIP ANDERSON
524 TYHEE AVE
AMERICAN FALLS, ID 83211-1224
Phone number: 208-226-2411
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Mailing Address
PHILIP ANDERSON
524 TYHEE AVE
AMERICAN FALLS, ID 83211-1224
Phone number: 208-226-2411
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