Individual
DR. GABRIEL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1725 1ST ST, IDAHO FALLS, ID 83401-4306
(208) 419-4684
(208) 419-4690
Mailing address
1725 1ST ST, IDAHO FALLS, ID 83401-4306
(208) 419-4684
(208) 419-4690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7376
ID
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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