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Individual

JOHN ERRAMOUSPE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARM.D., M.S.

Contact information

Practice address
970 S 5TH AVE, COLLEGE OF PHARMACY PPRA, IDAHO STATE UNIVERSITY, POCATELLO, ID 83209-0001
(208) 282-3019
Mailing address
970 S 5TH AVE, COLLEGE OF PHARMACY PPRA, IDAHO STATE UNIVERSITY, POCATELLO, ID 83209-0001
(208) 282-3019

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4383
ID

Other

Enumeration date
10/19/2005
Last updated
07/08/2007
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