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1912319799
GARRET PORTELA
RIGBY, ID
NPI
1912319799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0014200)
Enumeration Date
2014-05-28
Last Update Date
2016-08-31
Business Address
-- GARRET PORTELA
150 N STATE ST
RIGBY, ID 83442-1443
Phone number: 208-745-0267
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Mailing Address
-- GARRET PORTELA
1547 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4284
Phone number: 208-351-7284
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