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Organization

CRAFT PHARMACY AND CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TONI CANTRELL PHARMD (PHARMACIST/OWNER)
(208) 233-1719
Entity
Organization

Contact information

Practice address
707 N 12TH AVE, POCATELLO, ID 83201-4742
(208) 705-7812
Mailing address
707 N 12TH AVE, POCATELLO, ID 83201-4742
(208) 233-1719

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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