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1700173408
MICHAEL D. ROBERTS
EAGLE, ID
NPI
1700173408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P4765)
Enumeration Date
2011-07-01
Last Update Date
2011-07-01
Business Address
MICHAEL D. ROBERTS RPH
250 S EAGLE RD
EAGLE, ID 83616-5906
Phone number: 208-939-9854
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Mailing Address
MICHAEL D. ROBERTS RPH
250 S EAGLE RD
EAGLE, ID 83616-5906
Phone number: 208-939-9854
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