Individual
ED SNELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1015 E YOUNG ST, POCATELLO, ID 83201-5282
(208) 232-0049
(208) 232-3963
Mailing address
1015 E YOUNG ST, POCATELLO, ID 83201-5282
(208) 232-0049
(208) 232-3963
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
P4033
ID
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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