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1831348382
CAROL BLACKWELL
POCATELLO, ID
NPI
1831348382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5572)
Enumeration Date
2008-09-09
Last Update Date
2008-09-09
Business Address
Mrs. CAROL BLACKWELL PHARMD
436 E BONNEVILLE ST
POCATELLO, ID 83201-6406
Phone number: 208-233-3466
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Mailing Address
Mrs. CAROL BLACKWELL PHARMD
436 E BONNEVILLE ST
POCATELLO, ID 83201-6406
Phone number: 208-233-3466
Copy
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