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Individual

LORI ANN O'DELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
306 BLUE LAKES BLVD N, TWIN FALLS, ID 83301
(208) 734-4053
Mailing address
2404 JORDEN LN SPACE #6, FILER, ID 83328
(208) 850-2666

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4599
ID

Other

Enumeration date
07/18/2009
Last updated
12/30/2009
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