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Individual

DR. BRANDON SKOUMAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
235 S 4TH AVE, POCATELLO, ID 83201-6438
(208) 233-3341
Mailing address
645 S 8TH AVE, POCATELLO, ID 83201-5353

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7560
ID

Other

Enumeration date
06/29/2018
Last updated
06/29/2018
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