Individual
TUCKER HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1200 SHOUP ST, SALMON, ID 83467-4300
(208) 756-2822
Mailing address
3149 OLD CASTLE LN, IDAHO FALLS, ID 83404-7347
(208) 286-5369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8771862
ID
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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