TAKODA AVERETT

POCATELLO, ID
NPI1902522600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P10076)
Enumeration Date2022-10-13
Last Update Date2022-10-13
Business Address
TAKODA AVERETT
1015 YOUNG ST.
POCATELLO, ID 83201-8320
Phone number: 410-200-1000
Mailing Address
TAKODA AVERETT
2476 GREENFIELD DR
POCATELLO, ID 83201-7600
Phone number: