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Individual

TONY DEAN ROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH, CDE

Contact information

Practice address
1611 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-3374
(208) 736-3321
(208) 736-3321
Mailing address
1611 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-3374
(208) 736-3321
(208) 736-3321

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
P4205
ID

Other

Enumeration date
06/06/2011
Last updated
06/06/2011
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