Individual
GREGORY AARON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2327 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 528-1000
Mailing address
707 BRIGHAM DR, IDAHO FALLS, ID 83402-4775
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
P7082
ID
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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