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1952712440
ROY WEATHERSTON
REXBURG, ID
NPI
1952712440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P-4245)
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
ROY WEATHERSTON RPH
490 N 2ND E
REXBURG, ID 83440-1654
Phone number: 208-542-2088
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Mailing Address
ROY WEATHERSTON RPH
85 E SUNSET CIR
REXBURG, ID 83440-9683
Phone number: 208-356-7746
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