Individual
RENA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2252 CORONADO ST, IDAHO FALLS, ID 83404-7552
(208) 523-3360
Mailing address
2252 CORONADO ST, IDAHO FALLS, ID 83404-7552
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6162
ID
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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