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Individual

MRS. AIME TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4215 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2419
(208) 237-6828
(208) 238-8371
Mailing address
4215 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2419
(208) 237-6828
(208) 238-8371

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5996
ID

Other

Enumeration date
06/21/2012
Last updated
06/21/2012
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